Dr. Brian John Eastridge, M.D.
Surgery, Trauma Surgery in Fort Sam Houston, TX. Individual provider (NPI-1).
NPI number1679554232
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1679554232
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brian John Eastridge
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 10, 2005
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0127X | Surgery, Trauma Surgery | 0728 | TX | Yes |
Practice location
3400 Rawley E Chambers AveFort Sam Houston, TX 78234-6315
Phone 210-916-7104 · Fax 210-916-1602
Mailing address
3851 Roger Brooke DrMche-Qd (Credentials)
Fort Sam Houston, TX 78234-4501
Phone 210-916-7104 · Fax 210-916-1602
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