Organization
EARLE S THORNHILL, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARLE STEPHEN THORNHILL M.D. (PHYSICIAN)
(409) 212-1533
Entity
Organization
Contact information
Practice address
7760 N LAKESIDE DR, BEAUMONT, TX 77707-3054
(409) 212-1533
(409) 212-1770
Mailing address
7760 N LAKESIDE DR, BEAUMONT, TX 77707-3054
(409) 212-1533
(409) 212-1770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041PU
BLUE CROSS
TX
01
—
DF1080
MEDICARE RAILROAD
TX
Enumeration date
06/07/2006
Last updated
11/03/2015
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