Provider Demographics
NPI:1700027745
Name:ECHO, ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:ECHO
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 1:6560 FANNIN STREET, SCURLOCK TOWER
Mailing Address - Street 2:SUITE 2200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2761
Mailing Address - Country:US
Mailing Address - Phone:713-441-6929
Mailing Address - Fax:
Practice Address - Street 1:6560 FANNIN ST, SCURLOCK TOWER
Practice Address - Street 2:SUITE 2200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-441-6929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-22
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP20024534208200000X
CAA114929208200000X
MDD71832208200000X
MO2012003245208200000X
TXN9541208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8EJ451OtherBLUE CROSS BLUE SHIELD
TX1700027745OtherBLUE CROSS BLUE SHIELD
TX8DL453OtherBLUE CROSS BLUE SHIELD
TX8DL453OtherBLUE CROSS BLUE SHIELD
TXTXB165717Medicare PIN