Provider Demographics
NPI:1891145132
Name:FEAGINS, ERIC (MSRN, FNP-C)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:FEAGINS
Suffix:
Gender:M
Credentials:MSRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 157
Mailing Address - Street 2:
Mailing Address - City:DRIFTWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78619-0157
Mailing Address - Country:US
Mailing Address - Phone:512-940-4875
Mailing Address - Fax:
Practice Address - Street 1:902 W ALABAMA ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-4604
Practice Address - Country:US
Practice Address - Phone:281-785-3722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-17
Last Update Date:2017-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP130886363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily