Provider Demographics
NPI:1144848375
Name:MIDDLEKAUFF, ERIN LEAH CLARA (PA)
Entity type:Individual
Prefix:MRS
First Name:ERIN LEAH
Middle Name:CLARA
Last Name:MIDDLEKAUFF
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MRS
Other - First Name:ERIN LEAH
Other - Middle Name:CLARA
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-5347
Mailing Address - Country:US
Mailing Address - Phone:940-703-9004
Mailing Address - Fax:
Practice Address - Street 1:5323 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-1109
Practice Address - Country:US
Practice Address - Phone:940-703-9004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-14
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA15786363A00000X
363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant