Provider Demographics
NPI:1235592890
Name:MUNCHRATH, ERIC (FNP-C)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:MUNCHRATH
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14201 E SAM HOUSTON PKWY N
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-6291
Mailing Address - Country:US
Mailing Address - Phone:281-436-8888
Mailing Address - Fax:281-436-8889
Practice Address - Street 1:14201 E SAM HOUSTON PKWY N
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-6291
Practice Address - Country:US
Practice Address - Phone:281-436-8888
Practice Address - Fax:281-436-8889
Is Sole Proprietor?:No
Enumeration Date:2016-03-31
Last Update Date:2016-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130353363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily