Individual
DR. EARLE STEPHEN THORNHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7760 N LAKESIDE DR, BEAUMONT, TX 77707-3054
(409) 212-1533
Mailing address
7760 N LAKESIDE DR, BEAUMONT, TX 77707-3054
(409) 212-1533
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M1379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8AD909
BLUE CROSS
TX
01
—
P00338930
MEDICARE RAILROAD
TX
Enumeration date
05/04/2006
Last updated
12/11/2014
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