Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | H3876 | TX |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | H3876 | TX |
NPI | 1689683674 |
---|---|
Provider Name | Dr. John Stockton Early |
First Address | Dallas, TX 75231-4418 |
Second Address | Dallas, TX 75231-4418 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2006 |
Last Update Date | 03/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
118577904 | (05) | TX |
118577905 | (05) | TX |
8B8439 | BCBS (01) | TX |
E43859 | (02) |