Provider Demographics
NPI:1386677094
Name:NAIFEH, ERIC (FNP, PMHNP, DC)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:NAIFEH
Suffix:
Gender:M
Credentials:FNP, PMHNP, DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6206 TIFFANY PARK CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-2039
Mailing Address - Country:US
Mailing Address - Phone:214-956-6995
Mailing Address - Fax:214-956-6987
Practice Address - Street 1:3939 W GREEN OAKS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-2792
Practice Address - Country:US
Practice Address - Phone:214-956-6995
Practice Address - Fax:214-956-6987
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7921111N00000X
COC-APN.0001544-C-NP363L00000X
AZ229867363LF0000X, 363LP0808X
TXAP120337363LP0808X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB134163Medicare PIN