Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | F3918 | TX |
NPI | 1003809054 |
---|---|
Provider Name | Dr. Linda Lee Early |
First Address | Corpus Christi, TX 78404-2220 |
Second Address | Corpus Christi, TX 78404-2220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2005 |
Last Update Date | 30/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
120192301 | (05) | TX |
B87669 | (02) | TX |