Earl, Gene M

Earl, Gene M is an individual health care provider with primary practice located at 1100 S Beckham Ave , Tyler TX 75701-3301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Earl, Gene M can be contacted via phone (903) 595-5025.

Contact Information

Primary practice address
1100 S Beckham Ave Tyler TX 75701-3301
Fax: (903) 595-0548
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D9991 Texas

Profile Details

NPI number 1134122567
LBN Legal business name Earl, Gene M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Dec 28th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134122567 NPPES
Texas Other 8X1632 BLUE CROSS
Texas Other P00404431 BLUE CROSS

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