Provider Demographics
NPI:1427023373
Name:ERSKINE, STEVEN A (CPO, LOP)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:A
Last Name:ERSKINE
Suffix:
Gender:M
Credentials:CPO, LOP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 MEADOW OAKS CT
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79932-3125
Mailing Address - Country:US
Mailing Address - Phone:915-494-3159
Mailing Address - Fax:915-566-1485
Practice Address - Street 1:3901 MONTANA AVE
Practice Address - Street 2:STE C
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79903-4507
Practice Address - Country:US
Practice Address - Phone:915-566-3440
Practice Address - Fax:915-566-1485
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DECPO661OtherABC CERTIFICATE LICENSE
TX95OtherTEXAS ORTHOTICS & PROSTHE