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NPI Code Detail

MEDICARE: ERC4 PLLC

MEDICARE: ERC4 PLLC
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
1122300000XDentist

General Provider Information

NPI Number : 1396522694
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERC4 PLLC
Provider Business Mailing Address
First Line : 8101 FONDREN RD
Second Line :
City : HOUSTON
State : TX
Zip : 77074-5903
Country : US
Telephone Number : 713-774-3999
Fax Number :
Provider Business Practice Location Address
First Line : 8101 FONDREN RD
Second Line :
City : HOUSTON
State : TX
Zip : 77074-5903
Country : US
Telephone Number : 713-774-3999
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. EDUARDO CAMPOS RODRIGUEZ
Credential : DDS
Telephone Number : 832-868-4034
Provider Enumeration Date : 09/11/2023
Last Update Date : 09/11/2023

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Directions to “ERC4 PLLC ” Practice Location

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