Provider Demographics
NPI:1467785568
Name:WASHINGTON, ERIKA NICOLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:NICOLE
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1885 EL PASEO ST
Mailing Address - Street 2:APT 526
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3089
Mailing Address - Country:US
Mailing Address - Phone:214-566-5623
Mailing Address - Fax:
Practice Address - Street 1:1885 EL PASEO ST
Practice Address - Street 2:APT 526
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-3089
Practice Address - Country:US
Practice Address - Phone:214-566-5623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX249981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice