Brian John Eastridge in Fort Sam Houston - Trauma Surgery
Brian John Eastridge - NPI 1679554232
Brian John Eastridge is a Trauma Surgery in Fort Sam Houston, Texas. Brian John Eastridge practices all healthcare services and medical treatments related to Trauma Surgery. The NPI Number for Brian John Eastridge is 1679554232. The last update date is 2007-07-08.
Brian John Eastridge's current location address is 3851 Roger Brooke Dr, Fort Sam Houston, Texas. You can contact this provider via phone number 2109167104 and fax number 2109161602. The mailing address for Brian John Eastridge is 3851 Roger Brooke Dr, Fort Sam Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian John Eastridge |
|---|---|
| Address | 3851 Roger Brooke Dr, Fort Sam Houston, Texas |
| Phone Number | 2109167104 |
| Fax Number | 2109161602 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679554232 |
|---|---|
| Provider Enumeration Date | 2005-11-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3851 Roger Brooke Dr |
|---|---|
| City | Fort Sam Houston |
| State | Texas (TX) |
| Post Code | 782344501 |
| Phone Number | 2109167104 |
| Fax Number | 2109161602 |
Provider's Primary Taxonomy Detail
| Speciality | Trauma Surgery |
|---|---|
| Taxonomy | 2086S0127X |
| Licence No | 728 |
|
Definition: Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, ty |
|
Post Comment/ Review Below
What is the Brian John Eastridge's unique identification number?
The Brian John Eastridge has been assigned the NPI (National Provider Identifier) Number 1679554232 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Brian John Eastridge?
The Brian John Eastridge is physically situated at 3851 Roger Brooke Dr, in the city of Fort Sam Houston, state of TX, with the postal code 782344501.
What is Brian John Eastridge's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brian John Eastridge is Trauma Surgery, and the corresponding taxonomy classification code for this specialized field is 2086S0127X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679554232 to Brian John Eastridge?
The Centers for Medicare & Medicaid Services originally issued the 1679554232 to Brian John Eastridge on 2005-11-10.
As of what date were the details related to Brian John Eastridge most recently updated or revised?
The information pertaining to Brian John Eastridge, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY