Individual
CHRISTIAN CHRISTIAN EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
DEPARTMENT OF PSYCHIATRY 2401 SOUTH 31ST ST MS -22-117D, TEMPLE, TX 76508-0001
(254) 724-2501
Mailing address
DEPARTMENT OF PSYCHIATRY 2401 SOUTH 31ST ST MS -22-117D, TEMPLE, TX 76508-0001
(254) 724-2501
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0812742043
—
UT
Enumeration date
03/22/2024
Last updated
03/22/2024
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