Provider Demographics
NPI:1013088467
Name:PERKINS, ERIC THOMAS (DDS)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:THOMAS
Last Name:PERKINS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7490 W TIDWELL RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-5795
Mailing Address - Country:US
Mailing Address - Phone:713-681-7855
Mailing Address - Fax:713-690-3435
Practice Address - Street 1:7490 W TIDWELL RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-5795
Practice Address - Country:US
Practice Address - Phone:713-681-7855
Practice Address - Fax:713-690-3435
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16791122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist