Individual
DR. GENE M EARL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 S BECKHAM AVE, TYLER, TX 75701-3301
(903) 595-5025
(903) 595-0548
Mailing address
PO BOX 9477, TYLER, TX 75711-9477
(903) 594-2450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D9991
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8X1632
BLUE CROSS
TX
01
—
P00404431
RAILROAD MEDICARE
TX
Enumeration date
05/31/2005
Last updated
12/28/2007
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