Provider Demographics
NPI:1568561744
Name:PEARLMAN, ERIC B (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:B
Last Name:PEARLMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8804 BENT TREE DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-3278
Mailing Address - Country:US
Mailing Address - Phone:972-984-1021
Mailing Address - Fax:
Practice Address - Street 1:12221 MERIT DR STE 1610
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-2204
Practice Address - Country:US
Practice Address - Phone:972-832-7441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA229513207P00000X
TXM5878207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX186161903Medicaid
TX8AA319OtherBCBS
TXP00674953OtherRAILROAD
TX186161905Medicaid
TX186161904Medicaid
TX0082PTOtherBCBS
TX8AL418OtherBCBS
TX186161904Medicaid
TX0082PTOtherBCBS
TX612978Medicare PIN