Provider Demographics
NPI:1356342406
Name:ORZECK, ERIC A (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:A
Last Name:ORZECK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10023 S MAIN ST
Mailing Address - Street 2:SUITE C-4
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-5250
Mailing Address - Country:US
Mailing Address - Phone:713-797-9922
Mailing Address - Fax:713-799-8800
Practice Address - Street 1:10023 S MAIN ST
Practice Address - Street 2:SUITE C-4
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-5250
Practice Address - Country:US
Practice Address - Phone:713-797-9922
Practice Address - Fax:713-799-8800
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD6513207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX135672707Medicaid
TX135672707Medicaid
TX00K245Medicare PIN