Provider Demographics
NPI: | 1629198726 |
---|---|
Name: | HIGHTOWER, ERICA E (MD) |
Entity type: | Individual |
Prefix: | |
First Name: | ERICA |
Middle Name: | E |
Last Name: | HIGHTOWER |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 13333 DOTSON RD STE 220 |
Mailing Address - Street 2: | |
Mailing Address - City: | HOUSTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77070-4305 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 281-251-5234 |
Mailing Address - Fax: | 281-251-7868 |
Practice Address - Street 1: | 13333 DOTSON RD STE 220 |
Practice Address - Street 2: | |
Practice Address - City: | HOUSTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77070-4305 |
Practice Address - Country: | US |
Practice Address - Phone: | 281-251-5234 |
Practice Address - Fax: | 281-251-7868 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2007-03-30 |
Last Update Date: | 2025-08-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
TX | M5754 | 207R00000X, 207RE0101X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
TX | 189747201 | Medicaid | |
TX | 8W6317 | Other | BCBS |
TX | 8J5719 | Medicare PIN |