Provider Demographics
NPI:1437538865
Name:BEHM, ERIC (FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:BEHM
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 N LAKELINE BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-6780
Mailing Address - Country:US
Mailing Address - Phone:512-379-7272
Mailing Address - Fax:
Practice Address - Street 1:1201 N LAKELINE BLVD STE 400
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-6780
Practice Address - Country:US
Practice Address - Phone:512-379-7272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-19
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX750212163W00000X
TXAP128231363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse