Basic Information
| Provider Information | |||||||||
| NPI: | 1548378052 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DARROW | ||||||||
| FirstName: | ERIC | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 99371 | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761990371 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6828851855 | ||||||||
| FaxNumber: | 6828857347 | ||||||||
| Practice Location | |||||||||
| Address1: | 801 7TH AVE | ||||||||
| Address2: | |||||||||
| City: | FORT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761042733 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6828854054 | ||||||||
| FaxNumber: | 6828857497 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/25/2006 | ||||||||
| LastUpdateDate: | 04/03/2012 | ||||||||
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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 | 207L00000X | J3301 | TX | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207LP3000X | J3301 | TX | Y | Allopathic & Osteopathic Physicians | Anesthesiology | Pediatric Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 111258100 | 01 | TX | FIRSTCARE PIN | OTHER | 138837316 | 01 | TX | CSHCN | OTHER | 1393071 | 01 | TX | UHC PIN | OTHER | 1416690 | 01 | TX | FIRSTHEALTH PIN | OTHER | 10033949 | 01 | TX | AMERIGROUP PIN | OTHER | 5340683 | 01 | TX | CIGNA PIN | OTHER | 5932194 | 01 | TX | AETNA PIN | OTHER | 124116 | 01 | TX | SUPERIOR PIN | OTHER | 88072G | 01 | TX | BCBSTX IND PIN | OTHER | 138837315 | 05 | TX | MEDICAID | 414768 | 01 | TX | PHCS PIN | OTHER |