Individual
DR. MARTIN DURELLE EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1405 W JEFFERSON ST, WAXAHACHIE, TX 75165-2231
(972) 937-7240
(972) 937-4255
Mailing address
327 N GRAND AVE STE 1, WAXAHACHIE, TX 75165-2219
(972) 937-7240
(972) 937-4255
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L5317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161832402
—
TX
Enumeration date
12/28/2005
Last updated
07/31/2019
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