Basic Information
Provider Information
NPI: 1639322407
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ERMIS
FirstName: PETER
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2 GREENWAY PLZ STE 300
Address2:  
City: HOUSTON
State: TX
PostalCode: 770460207
CountryCode: US
TelephoneNumber: 8328283660
FaxNumber:  
Practice Location
Address1: 1 BAYLOR PLZ
Address2: DEPARMENT OF MEDICINE
City: HOUSTON
State: TX
PostalCode: 770303411
CountryCode: US
TelephoneNumber: 7137981000
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/24/2008
LastUpdateDate: 01/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/11/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XBP10023326TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000XN5041TXN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
2080P0202XN5041TXY Allopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology

No ID Information.


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