Individual
DR. DENNIS PATRICK EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3606 21ST ST, SUITE 103, LUBBOCK, TX 79410-1226
(806) 725-4425
(806) 723-7347
Mailing address
3420 22ND PL, LUBBOCK, TX 79410-1314
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
M6594
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160284100
FIRST CARE
—
05
—
193636101
—
TX
05
—
34651586
—
NM
01
—
8AU580
BLUE CROSS BLUE SHIELD
—
01
—
P00608395
MEDICARE RR
—
Enumeration date
08/08/2006
Last updated
03/15/2013
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