Individual
DR. DAVID J. EASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 BARBARA JORDAN BLVD, SUITE 200, AUSTIN, TX 78723-3077
(512) 628-1810
(512) 628-1811
Mailing address
1301 BARBARA JORDAN BLVD, SUITE 200, AUSTIN, TX 78723-3077
(512) 628-1810
(512) 628-1811
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
H0818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1294829-04
CSHCN
TX
05
—
1294829-05
—
TX
01
—
370017459
RR/MEDICARE
TX
01
—
83X678
BLUE SHIELD
TX
Enumeration date
03/24/2006
Last updated
06/27/2016
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