Provider Demographics
NPI:1942493614
Name:HOMMEL, ERIN LEIGH (MD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:LEIGH
Last Name:HOMMEL
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:UNIVERSITY OF TEXAS MEDICAL BR
Mailing Address - Street 2:301 UNIVERSITY BLVD, 6.608 REBECCA SEALY
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77555-0177
Mailing Address - Country:US
Mailing Address - Phone:409-772-1987
Mailing Address - Fax:409-747-3585
Practice Address - Street 1:UNIVERSITY OF TEXAS MEDICAL BR
Practice Address - Street 2:301 UNIVERSITY BLVD, 6.608 REBECCA SEALY
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77555-0177
Practice Address - Country:US
Practice Address - Phone:409-772-1987
Practice Address - Fax:409-747-3585
Is Sole Proprietor?:No
Enumeration Date:2007-08-24
Last Update Date:2010-09-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC2009-00951207R00000X
NC128391207R00000X
TXN7547207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCRES000Medicare UPIN