Provider Demographics
NPI:1881383040
Name:CONTRERAS, ERIC (AGNP-C)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:CONTRERAS
Suffix:
Gender:M
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 KAMALI DR
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-0016
Mailing Address - Country:US
Mailing Address - Phone:956-425-7800
Mailing Address - Fax:956-425-7801
Practice Address - Street 1:629 KAMALI DR
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-0016
Practice Address - Country:US
Practice Address - Phone:956-425-7800
Practice Address - Fax:956-425-7801
Is Sole Proprietor?:No
Enumeration Date:2023-05-03
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1115630363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology