Individual
DR. CAMERON LEE EARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10864 TEXAS HEALTH TRL, FORT WORTH, TX 76244-4897
(817) 702-6882
Mailing address
290 E 1000 N, OREM, UT 84057-3369
(801) 427-4902
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
9743845-1204
UT
207P00000X
Emergency Medicine Physician
BP10045847
TX
207P00000X
Emergency Medicine Physician
Primary
Q2439
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9743845-1204
UTAH MEDICAL LICENSE
UT
01
—
Q2439
TEXAS MEDICAL LICENSE
TX
Enumeration date
04/20/2013
Last updated
04/08/2020
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