Provider Demographics
NPI:1255872495
Name:MEDLOW BRAXTON, ERIKA (RN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:MEDLOW BRAXTON
Suffix:
Gender:F
Credentials:RN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 31612
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77231-1612
Mailing Address - Country:US
Mailing Address - Phone:713-417-5715
Mailing Address - Fax:
Practice Address - Street 1:9 GREENWAY PLZ
Practice Address - Street 2:SUITE 2950
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77046-0905
Practice Address - Country:US
Practice Address - Phone:713-417-5715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133562363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily