Individual
BRYAN DAVID EARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1925 E T C JESTER BLVD, HOUSTON, TX 77008-1551
(484) 390-0678
Mailing address
PO BOX 650859, DEPT 710, DALLAS, TX 75265
(409) 747-6240
(409) 772-1084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1016686
TX
363LF0000X
Family Nurse Practitioner
Primary
1016686
TX
Other
Enumeration date
11/17/2020
Last updated
09/09/2021
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