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Contact Information

GARY L ERICKSON, DPM
910 W NORTHSIDE DR
FORT WORTH, TX76164-9046
 Phone: 817-926-5287
 Fax: 817-926-5288
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GARY L ERICKSON · (Male)

NPI Number 1841290012
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/28/2005
Last updated 11/18/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 801
  • TX Medicaid 018832801
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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