Individual
DR. LAURENCE EASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 WALTER REED BLVD, SUITE 203, GARLAND, TX 75042-3701
(972) 494-1446
(972) 276-5476
Mailing address
8080 N CENTRAL EXPY, SUITE 1650, DALLAS, TX 75206-1838
(972) 860-8648
(972) 860-8679
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
E5742
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83302X
BCBS
TX
01
—
P00182278
RR MEDICARE
TX
Enumeration date
06/23/2006
Last updated
07/08/2007
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