Individual
DR. BRIAN JOHN EASTRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 RAWLEY E CHAMBERS AVE, FORT SAM HOUSTON, TX 78234-6315
(210) 916-7104
(210) 916-1602
Mailing address
3851 ROGER BROOKE DR, MCHE-QD (CREDENTIALS), FORT SAM HOUSTON, TX 78234-4501
(210) 916-7104
(210) 916-1602
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
0728
TX
Other
Enumeration date
11/10/2005
Last updated
07/08/2007
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