Provider Demographics
NPI:1548565112
Name:NASH, ERIC
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:NASH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16903 RED OAK DR
Mailing Address - Street 2:STE.268
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3914
Mailing Address - Country:US
Mailing Address - Phone:281-919-1642
Mailing Address - Fax:713-456-2935
Practice Address - Street 1:2316 TIMBER SHADOWS DR
Practice Address - Street 2:STE.106
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2025
Practice Address - Country:US
Practice Address - Phone:281-919-1642
Practice Address - Fax:713-456-2935
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-12
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist