Provider Demographics
NPI:1891174199
Name:ERWIN HEALTH CARE, INC.
Entity Type:Organization
Organization Name:ERWIN HEALTH CARE, INC.
Other - Org Name:ACCOUNTABLE CARE NOW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ERWIN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:940-654-6200
Mailing Address - Street 1:109 NW 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MINERAL WELLS
Mailing Address - State:TX
Mailing Address - Zip Code:76067-4940
Mailing Address - Country:US
Mailing Address - Phone:940-654-6200
Mailing Address - Fax:940-325-2202
Practice Address - Street 1:109 NW 2ND ST
Practice Address - Street 2:
Practice Address - City:MINERAL WELLS
Practice Address - State:TX
Practice Address - Zip Code:76067-4940
Practice Address - Country:US
Practice Address - Phone:940-654-6200
Practice Address - Fax:940-325-2202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP124617363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty