Provider Demographics
NPI:1851667562
Name:BRIDGEWATER, ERIN WILKERSON (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIN
Middle Name:WILKERSON
Last Name:BRIDGEWATER
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 733784
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-3784
Mailing Address - Country:US
Mailing Address - Phone:682-885-6483
Mailing Address - Fax:682-303-7132
Practice Address - Street 1:545 S PRESTON RD STE 100
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009
Practice Address - Country:US
Practice Address - Phone:945-204-7960
Practice Address - Fax:945-204-7961
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ4045208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics