Provider Demographics
NPI:1841152295
Name:MEJIA, ERICA YVETTE
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:YVETTE
Last Name:MEJIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20125 FM 1314 RD STE A
Mailing Address - Street 2:
Mailing Address - City:PORTER
Mailing Address - State:TX
Mailing Address - Zip Code:77365-7490
Mailing Address - Country:US
Mailing Address - Phone:281-306-2102
Mailing Address - Fax:
Practice Address - Street 1:20125 FM 1314 RD STE A
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-7490
Practice Address - Country:US
Practice Address - Phone:281-306-2102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1036113363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily