Provider Demographics
NPI:1013060433
Name:ERBEN, DAVID MARK (LOT)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MARK
Last Name:ERBEN
Suffix:
Gender:M
Credentials:LOT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8868 RESEARCH BLVD
Mailing Address - Street 2:SUITE 601
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-6497
Mailing Address - Country:US
Mailing Address - Phone:512-467-7232
Mailing Address - Fax:512-467-7203
Practice Address - Street 1:8868 RESEARCH BLVD
Practice Address - Street 2:SUITE 601
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-6497
Practice Address - Country:US
Practice Address - Phone:512-467-7232
Practice Address - Fax:512-467-7203
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX102879225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand