Individual
MR. EDWARD DEAN EACRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3600 DARNALL LOOP, FORT HOOD, TX 76544-4752
(254) 285-6414
Mailing address
2738 ARROWHEAD DR, COPPERAS COVE, TX 76522-7201
(254) 542-7036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1030029
TX
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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