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DR. EMORY LEVON EASTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-5000
(915) 215-8662
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
04-50625
KS
207V00000X
Obstetrics & Gynecology Physician
29390
SC
207V00000X
Obstetrics & Gynecology Physician
Primary
J4095
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
293907
SC
01
P00387008G
MEDICARE RAILROAD PTAN#
GA
01
P00708630
RR MEDICARE
SC
Enumeration date
11/29/2005
Last updated
01/08/2026
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