Provider Demographics
NPI:1447332473
Name:WESTERHOLM, ERIN CARPENTER (DO)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:CARPENTER
Last Name:WESTERHOLM
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 LIVERPOOL LN
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-7506
Mailing Address - Country:US
Mailing Address - Phone:214-418-8085
Mailing Address - Fax:
Practice Address - Street 1:2800 EAST BROAD STREET
Practice Address - Street 2:SUITE 308
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063
Practice Address - Country:US
Practice Address - Phone:817-473-7172
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9544207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology