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NPI Code Detail

MEDICARE: DR. THOMAS PHILLIP EARTHMAN MD

MEDICARE: DR. THOMAS PHILLIP EARTHMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianD2772TX

General Provider Information

NPI Number : 1235148230
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS PHILLIP EARTHMAN MD
Provider Business Mailing Address
First Line : 2 CHELSEA BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77006-6202
Country : US
Telephone Number : 713-523-6627
Fax Number : 713-523-7623
Provider Business Practice Location Address
First Line : 2 CHELSEA BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77006-6202
Country : US
Telephone Number : 713-523-6627
Fax Number : 713-523-7623
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2006
Last Update Date : 07/08/2007

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