Healthcare Provider Details

I. General information

NPI: 1740670207
Provider Name (Legal Business Name): ENW, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2015
Last Update Date: 02/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1021 SAWDUST RD SUITE 110
SPRING TX
77380-2151
US

IV. Provider business mailing address

1021 SAWDUST RD SUITE 110
SPRING TX
77380-2151
US

V. Phone/Fax

Practice location:
  • Phone: 281-292-4332
  • Fax:
Mailing address:
  • Phone: 281-292-4332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number24998
License Number StateTX

VIII. Authorized Official

Name: DR. ERIKA NICOLE WASHINGTON
Title or Position: OWNER
Credential: DDS
Phone: 281-292-4332