Provider Demographics
NPI:1154650760
Name:ERIN K. MCCORMICK, M.D., P.A.
Entity Type:Organization
Organization Name:ERIN K. MCCORMICK, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:MCCORMICK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-428-4535
Mailing Address - Street 1:PO BOX 531238
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78553-1238
Mailing Address - Country:US
Mailing Address - Phone:956-428-4535
Mailing Address - Fax:956-428-5516
Practice Address - Street 1:2121 PEASE ST
Practice Address - Street 2:SUITE 403
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8348
Practice Address - Country:US
Practice Address - Phone:956-428-4535
Practice Address - Fax:956-428-5516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-10
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0A5736Medicare PIN