Larry E Easterling, MD | |
801 7th Ave, Fort Worth, TX 76104-2733 | |
(682) 885-4268 | |
(682) 885-7956 |
Full Name | Larry E Easterling |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Critical Care Medicine |
Location | 801 7th Ave, Fort Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366552218 | NPI | - | NPPES |
10032461 | Other | TX | AMERIGROUP PIN |
4301822 | Other | TX | AETNA PIN |
82Y892 | Other | TX | BCBSTX IND PIN |
1392703 | Other | TX | UHC PIN |
6414914 | Other | TX | CIGNA PIN |
00U87Z | Other | TX | BCBSTX GRP PIN |
112097100 | Other | TX | FIRSTCARE PIN |
129718605 | Medicaid | TX | |
129718606 | Other | TX | CSHCN |
124132 | Other | TX | SUPERIOR PIN |
1750369203 | Other | GRP NPI NUMBER | |
87143 | Other | TX | PHCS PIN |
1727198 | Other | TX | FIRSTHEALTH PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | H9626 (Texas) | Primary |
Entity Name | Cook Childrens Physician Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
Mailing Address | Practice Location Address |
---|---|
Larry E Easterling, MD Po Box 99371, Fort Worth, TX 76199-0371 Ph: (682) 885-1855 | Larry E Easterling, MD 801 7th Ave, Fort Worth, TX 76104-2733 Ph: (682) 885-4268 |
Dr. Heidi Danielle Tomlinson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1301 Pennsylvania Ave, Department Of Neonatology, Fort Worth, TX 76104 Phone: 817-250-2892 | |
Rachel Marie Souers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-6726 Fax: 682-885-6729 | |
Gregory Barker, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1500 Cooper St, Fort Worth, TX 76104 Phone: 682-885-2140 Fax: 817-332-2506 | |
Anne Marcum Kirk, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 | |
Hina Aziz Rehman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014 | |
Khalid H Syed, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2332 Beverly Hills Dr, Fort Worth, TX 76114 Phone: 817-378-0855 Fax: 817-378-0861 | |
Dr. Phuong Thi Nguyen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520 |