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
Phone: (903) 595-5025
Fax: (903) 595-0548
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134122567 | NPPES |
| Texas | Other | 8X1632 | BLUE CROSS |
| Texas | Other | P00404431 | BLUE CROSS |
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