Provider Demographics
NPI:1649235847
Name:MCCORMICK, ERIN K (MD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:K
Last Name:MCCORMICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 531238
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78553-1238
Mailing Address - Country:US
Mailing Address - Phone:956-428-4535
Mailing Address - Fax:956-428-5516
Practice Address - Street 1:2121 PEASE ST
Practice Address - Street 2:SUITE 403
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8348
Practice Address - Country:US
Practice Address - Phone:956-428-4535
Practice Address - Fax:956-428-5516
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1871208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
8F23678Medicare PIN