Provider Demographics
NPI:1598296048
Name:PIKE, ERIC M (DPT)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:M
Last Name:PIKE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:2525 N GRANDVIEW AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-1621
Mailing Address - Country:US
Mailing Address - Phone:432-550-4700
Mailing Address - Fax:432-550-4715
Practice Address - Street 1:2400 W PIONEER PKWY STE 108
Practice Address - Street 2:
Practice Address - City:PANTEGO
Practice Address - State:TX
Practice Address - Zip Code:76013-6091
Practice Address - Country:US
Practice Address - Phone:682-276-3040
Practice Address - Fax:817-207-4184
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist