MEDICARE: DR. EDWARD L ERB D.O.

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	2086S0129X	Vascular Surgery Physician	34006491E	OH
2	2086S0129X	Vascular Surgery Physician	R3836	TX

General Provider Information

NPI Number	:	1053313163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD L ERB D.O.

Provider Business Mailing Address
First Line	:	575 HILL COUNTRY DR
Second Line	:
City	:	KERRVILLE
State	:	TX
Zip	:	78028-6024
Country	:	US
Telephone Number	:	830-258-7762
Fax Number	:	830-258-7098

Provider Business Practice Location Address
First Line	:	575 HILL COUNTRY DR
Second Line	:
City	:	KERRVILLE
State	:	TX
Zip	:	78028
Country	:	US
Telephone Number	:	830-258-7762
Fax Number	:	830-258-7098

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/27/2022

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