Active NPI
Eric Drew, M.D., P.a.
- Neurology Physician
- Lewisville, TX
National Provider Identifier
1780960500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- L4911
- Legal business name
- ERIC DREW, M.D., P.A.
- Practice address
- 190 Civic Cir
272
Lewisville, TX 75067-3424 - Phone
- (903) 920-5267
- NPI assigned
- Oct 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric C Drew, M.D.
- Title
- President
- Phone
- (903) 920-5267
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | L4911 | TX | Primary |
Addresses
Primary practice location
190 Civic Cir
272
Lewisville, TX 75067-3424
Mailing address
211 E Houston St
Tyler, TX 75702-8132
Phone (903) 920-5267
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159040803 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
211 E Houston St
Tyler, TX 75702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319500800000",
"number": "1780960500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 E HOUSTON ST",
"city": "TYLER",
"state": "TX",
"postal_code": "757028132",
"telephone_number": "903-920-5267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 CIVIC CIR",
"address_2": "272",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673424",
"telephone_number": "903-920-5267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC DREW, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-25",
"last_updated": "2011-10-25",
"status": "A",
"authorized_official_last_name": "DREW",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "903-920-5267",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "L4911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159040803",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.