Individual
DR. BRIAN S EARTHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11901 W PARMER LN, STE 310, CEDAR PARK, TX 78613-7654
(512) 528-9498
(512) 843-7164
Mailing address
11901 W. PARMER LN. ST. 310, CEDAR PARK, TX 78613
(512) 528-9498
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L5316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174507501
—
TX
Enumeration date
06/26/2006
Last updated
07/03/2019
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