Provider Demographics
NPI:1740670207
Name:ENW, PLLC
Entity type:Organization
Organization Name:ENW, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-292-4332
Mailing Address - Street 1:1021 SAWDUST RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2151
Mailing Address - Country:US
Mailing Address - Phone:281-292-4332
Mailing Address - Fax:
Practice Address - Street 1:1021 SAWDUST RD
Practice Address - Street 2:SUITE 110
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2151
Practice Address - Country:US
Practice Address - Phone:281-292-4332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-04
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24998122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty