Doctor Name: | LARRY EDWARD MCEACHERN |
NPI Number: | 1952356354 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | E5167 |
Business Practice Address: | 201 E Arizona Ave Sweetwater, TX - 795567119 |
Business Phone Number: | 3252358641 |
Business Fax Number: | 3252355925 |
Mailing Address: | 201 E Arizona Ave, SWEETWATER |
State: | TX |
Postal Code: | 795567119 |
Phone Number: | 3252358641 |
Fax Number: | 3252355925 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 01/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | E5167 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |