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SPENCER MICHAEL ERICKSEN
NPI 1962206938
Student in an Organized Health Care Education/Training Program in Granbury, TX

Active since April 01, 2025
1310 PALUXY RD, GRANBURY, TX 76048(817) 408-3073 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Spencer Michael Ericksen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPENCER MICHAEL ERICKSEN (NPI 1962206938) is an individual student in an organized health care education/training program in Granbury, Texas and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1962206938
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSPENCER MICHAEL ERICKSEN
Location Address1310 PALUXY RDGranbury, TX 76048-5655
Mailing Address1310 Paluxy RdGranbury, TX 76048-5655 · (817) 408-3073
Phone(817) 408-3073
Sole ProprietorNo
Enumeration DateApril 1, 2025
NPPES CertifiedApril 1, 2025
✔ NPI 1962206938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1310 PALUXY RD, Granbury, TX 76048
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAKE GRANBURY HB MEDICAL SERVICES LLC
Emergency Medicine
1310 PALUXY RD
GRANBURY, TX 76048
Hood County (817) 573-2273
HILL COUNTRY RADIOLOGY ASSOCIATES PLLC
Radiology (Diagnostic Radiology)
1310 PALUXY RD
GRANBURY, TX 76048
Hood County (817) 573-2273
GRANBURY HOSPITAL CORPORATION
General Acute Care Hospital
1310 PALUXY RD
GRANBURY, TX 76048
Hood County (817) 573-2273
THAROON DBRASS CRNA
Nurse Anesthetist, Certified Registered
1310 PALUXY RD
GRANBURY, TX 76048
Hood County (817) 791-2999
EMILY PORTILLO
Nurse Anesthetist, Certified Registered
1310 PALUXY RD
GRANBURY, TX 76048
Hood County (817) 573-2273
JONATHAN S CHEON DO
Neuromusculoskeletal Medicine & OMM
1310 PALUXY RD
GRANBURY, TX 76048
Hood County (817) 408-3073
MANDIE DANIELS RN IBCLC
Registered Nurse (Lactation Consultant)
1310 PALUXY RD
GRANBURY, TX 76048
Hood County (817) 579-2969
MARK CARNEY CST/CSFA
Specialist/Technologist, Other (Surgical Assistant)
1310 PALUXY RD
GRANBURY, TX 76048
Hood County (817) 573-2273

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer Ericksen's NPI number?

The NPI number for Spencer Ericksen is 1962206938. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Spencer Ericksen located?

Spencer Ericksen practices at 1310 Paluxy Rd, Granbury, TX 76048. The listed phone number is (817) 408-3073.

What is Spencer Ericksen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Spencer Ericksen was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.