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Individual

EARNEST W STROUPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 593-8441
Mailing address
PO BOX 841656, DALLAS, TX 75284-1656
(903) 531-5000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H3947
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0044EJ
BCBS
TX
05
030151701
TX
05
139345622
TX
01
39715YNSX
MEDICARE
TX
01
75-0818167-022
TRICARE
TX
01
75-0818167-048
TRICARE
TX
01
75-2616977-001
TRICARE
TX
01
75-2616977-002
TRICARE
TX
01
75-2616977-028
TRICARE
TX
01
8BL713
BCBS
TX
01
8EY984
BCBS
TX
01
P01464118
RAIL ROAD MEDICARE
TX
Enumeration date
06/02/2006
Last updated
07/10/2015
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