Organization Name: | EASLEY JAMES D |
NPI Number: | 1457730236 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES DAVID EASLEY (PRIVATE PRACTICE) |
Mailing Address: | 4712 Fm 1094 Sealy |
State: | TX US |
Postal Code: | 77474 |
Phone Number: | 9798852767 |
Fax Number: | 9798852767 |
NPI Enumeration Date: | 05/26/2015 |
NPI Last Update Date: | 05/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | D8697 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |