| Earle S Thornhill, M.d. | |
|
7760 N Lakeside Dr Beaumont TX 77707-3054 | |
| (409) 212-1533 | |
| (409) 212-1770 |
| Full Name | Earle S Thornhill, M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7760 N Lakeside Dr, Beaumont, Texas |
| Authorized Official Name and Position | Earle Stephen Thornhill (PHYSICIAN) |
| Authorized Official Contact | 4092121533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Earle S Thornhill, M.d. 7760 N Lakeside Dr Beaumont TX 77707-3054 Ph: (409) 212-1533 | Earle S Thornhill, M.d. 7760 N Lakeside Dr Beaumont TX 77707-3054 Ph: (409) 212-1533 |
| NPI Number | 1407896848 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 11/03/2015 |
| Medicare PECOS PAC ID | 6800899758 |
|---|---|
| Medicare Enrollment ID | O20060814000305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407896848 | NPI | - | NPPES |
| 0041PU | Other | TX | BLUE CROSS |
| DF1080 | Other | TX | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Earle Thornhill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275591455 PECOS PAC ID: 0143266692 Enrollment ID: I20050706000601 |
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