MEDICARE: ERIN H ENTERPRISES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier
2	224P00000X	Prosthetist

General Provider Information

NPI Number	:	1215760897
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIN H ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	5671 VILLAGE GLEN DR APT 11101
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-2062
Country	:	US
Telephone Number	:	833-209-2904
Fax Number	:

Provider Business Practice Location Address
First Line	:	5671 VILLAGE GLEN DR APT 11101
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75206-2062
Country	:	US
Telephone Number	:	833-209-2904
Fax Number	:

Authorized Official
Title or Position	:	OWNER / PROSTHETIST
Name	:	ERIN HUGHES
Credential	:
Telephone Number	:	833-209-2904

Provider Enumeration Date	:	08/20/2024
Last Update Date	:	08/19/2025

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