Individual
DR. CARL RICHARD EARNEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 E MARSHALL AVE, SUITE 1001, LONGVIEW, TX 75601-5500
(903) 753-7291
(903) 315-5000
Mailing address
PO BOX 4207, LONGVIEW, TX 75606-4207
(903) 753-7291
(903) 315-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K8131
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PO86M8038
—
TX
Enumeration date
01/03/2007
Last updated
03/04/2015
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