Eason, Martin Durelle

Eason, Martin Durelle is an individual health care provider with primary practice located at 1405 W Jefferson St , Waxahachie TX 75165-2231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Eason, Martin Durelle can be contacted via phone (972) 937-7240.

Contact Information

Primary practice address
1405 W Jefferson St Waxahachie TX 75165-2231
Fax: (972) 937-4255
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X L5317 Texas

Profile Details

NPI number 1245217629
LBN Legal business name Eason, Martin Durelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jul 31st, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245217629 NPPES
Texas MEDICAID 161832402

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