Provider Demographics
NPI:1508220757
Name:FRANCIS, ERICA MICHELLE
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:MICHELLE
Last Name:FRANCIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12300 BEAR PLZ STE 408
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-9501
Mailing Address - Country:US
Mailing Address - Phone:817-585-1768
Mailing Address - Fax:
Practice Address - Street 1:1950 EPHRIHAM AVE
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76164-6670
Practice Address - Country:US
Practice Address - Phone:817-813-7075
Practice Address - Fax:817-764-0656
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130771363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily