Provider Demographics
NPI:1518014588
Name:MT. PLEASANT EAR, NOSE AND THROAT CLINIC, PA
Entity Type:Organization
Organization Name:MT. PLEASANT EAR, NOSE AND THROAT CLINIC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:903-577-1101
Mailing Address - Street 1:301 W 19TH ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:TX
Mailing Address - Zip Code:75455-2322
Mailing Address - Country:US
Mailing Address - Phone:903-577-1101
Mailing Address - Fax:903-577-0771
Practice Address - Street 1:301 W 19TH ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:TX
Practice Address - Zip Code:75455-2322
Practice Address - Country:US
Practice Address - Phone:903-577-1101
Practice Address - Fax:903-577-0771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0030HGOtherBCBS
TX147513901Medicaid
TX00857RMedicare ID - Type Unspecified