Provider Demographics
NPI:1134466170
Name:BEST, ERIC (PHD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:BEST
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:ERIC
Other - Middle Name:
Other - Last Name:BEST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:10316 FM 1841
Mailing Address - Street 2:
Mailing Address - City:BIVINS
Mailing Address - State:TX
Mailing Address - Zip Code:75555-2449
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10316 FM 1841
Practice Address - Street 2:
Practice Address - City:BIVINS
Practice Address - State:TX
Practice Address - Zip Code:75555-2449
Practice Address - Country:US
Practice Address - Phone:903-799-6161
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-10
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNOTAPPLICABLE103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy