Easley, David J.
Easley, David J. is an individual health care provider with primary practice located at 1301 Barbara Jordan Blvd Suite 200, Austin TX 78723-3077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Easley, David J. can be contacted via phone (512) 628-1810.Contact Information
Primary practice address
1301 Barbara Jordan Blvd Suite 200
Austin TX 78723-3077
Phone: (512) 628-1810
Fax: (512) 628-1811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | H0818 | Texas |
Profile Details
| NPI number | 1639139488 |
|---|---|
| LBN Legal business name | Easley, David J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jun 27th, 2016 - about 8 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 | 1639139488 | NPPES |
| Texas | Other | 1294829-04 | CSHCN |
| Texas | MEDICAID | 1294829-05 | CSHCN |
| Texas | Other | 370017459 | CSHCN |
| Texas | Other | 83X678 | CSHCN |
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