Basic Information
Provider Information
NPI: 1952854002
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GILES
FirstName: ERICA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6400 FANNIN ST STE 1700
Address2:  
City: HOUSTON
State: TX
PostalCode: 770301526
CountryCode: US
TelephoneNumber: 7134867500
FaxNumber:  
Practice Location
Address1: 5420 WEST LOOP S STE 2400
Address2:  
City: BELLAIRE
State: TX
PostalCode: 774012118
CountryCode: US
TelephoneNumber: 7134867550
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/25/2016
LastUpdateDate: 10/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/13/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X47794TXY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


Home