Individual
JONATHAN GARLAND EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6414 FANNIN ST STE G150, HOUSTON, TX 77030-1514
(713) 486-7560
(713) 486-7512
Mailing address
6400 FANNIN ST STE 1700, HOUSTON, TX 77030-1526
(713) 486-6998
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD60208128
WA
207XX0801X
Orthopaedic Trauma Physician
Primary
A00102556
CA
207XX0801X
Orthopaedic Trauma Physician
MD60208128
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0280066
L&I
WA
05
—
1386823029
—
WA
Enumeration date
10/30/2007
Last updated
07/07/2021
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