Easter, Thomas Glenn

Easter, Thomas Glenn is an individual health care provider with primary practice located at 2931 Montana Ave Suite A, El Paso TX 79903-2409. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Easter, Thomas Glenn can be contacted via phone (915) 562-4246.

Contact Information

Primary practice address
2931 Montana Ave Suite A El Paso TX 79903-2409
Phone: (915) 562-4246
Fax: (915) 564-0667
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G7801 Texas

Profile Details

NPI number 1235131020
LBN Legal business name Easter, Thomas Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Dec 28th, 2011 - about 14 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 1235131020 NPPES
Texas Other P00681405 MEDICARE RR
Texas MEDICAID 135303909 MEDICARE RR

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