Provider Demographics
NPI:1003641234
Name:MASSAC-SAUNDERS, ERICKA (MSN, RN)
Entity type:Individual
Prefix:
First Name:ERICKA
Middle Name:
Last Name:MASSAC-SAUNDERS
Suffix:
Gender:
Credentials:MSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10593 GAGE PARK
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-4412
Mailing Address - Country:US
Mailing Address - Phone:210-391-7688
Mailing Address - Fax:
Practice Address - Street 1:7400 MERTON MINTOR
Practice Address - Street 2:HBPC (18B)
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229
Practice Address - Country:US
Practice Address - Phone:830-890-4108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX712377163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse