Basic Information
| Provider Information | |||||||||
| NPI: | 1275501603 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HAAS | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6560 FANNIN ST STE 1404 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302706 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7134415155 | ||||||||
| FaxNumber: | 7137906470 | ||||||||
| Practice Location | |||||||||
| Address1: | 6560 FANNIN ST | ||||||||
| Address2: | SUITE 1401 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302761 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7134415155 | ||||||||
| FaxNumber: | 7137906470 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/10/2006 | ||||||||
| LastUpdateDate: | 01/04/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208C00000X | K5548 | TX | Y | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery |
ID Information
| ID | Type | State | Issuer | Description | 159708002 | 05 | TX | MEDICAID | 159708003 | 05 | TX | MEDICAID | 8GD811 | 01 | TX | BCBS | OTHER | 8FE006 | 01 | TX | BCBS | OTHER |