Provider Demographics
NPI:1245450733
Name:HUMBLE, ERIC ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ALLEN
Last Name:HUMBLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:16525 LEXINGTON BLVD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2577
Mailing Address - Country:US
Mailing Address - Phone:281-313-0555
Mailing Address - Fax:281-313-0554
Practice Address - Street 1:16525 LEXINGTON BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2577
Practice Address - Country:US
Practice Address - Phone:281-313-0555
Practice Address - Fax:281-313-0554
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL64352086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery