person
Larry E Easterling, MD
Pediatric Critical Care Medicine Physician in Fort Worth, Texas
NPI 1366552218

Larry E Easterling is a Pediatric Critical Care Medicine Physician based in Fort Worth, TX and is specialized in Pediatric Critical Care Medicine. Larry E Easterling practices in Fort Worth, TX and has the professional credentials of MD. The NPI Number for Larry E Easterling is 1366552218 and holds a License No. H9626 (Texas).

The current practice location address for Larry E Easterling is 801 7Th Ave, Fort Worth, TX and can be reached out via phone at 682-885-4268 and via fax at 682-885-7956. You can also correspond with Larry E Easterling through the mailing address at PO BOX 99371, FORT WORTH, TX - 76199-0371 (mailing address contact number: 682-885-1855).

Location: 801 7Th Ave, Fort Worth, TX, 76199-0371
person
Provider Profile Details
NPI Number
1366552218
Provider Name
Larry E Easterling
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
801 7Th Ave, Fort Worth, TX, 76199-0371
Phone Number
682-885-4268
Fax Number
682-885-7956
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10032461 01 TX AMERIGROUP PIN
4301822 01 TX AETNA PIN
82Y892 01 TX BCBSTX IND PIN
1392703 01 TX UHC PIN
6414914 01 TX CIGNA PIN
00U87Z 01 TX BCBSTX GRP PIN
112097100 01 TX FIRSTCARE PIN
129718605 05 TX
129718606 01 TX CSHCN
124132 01 TX SUPERIOR PIN
1750369203 01 GRP NPI NUMBER
87143 01 TX PHCS PIN
1727198 01 TX FIRSTHEALTH PIN
institution
Provider Business Practice Location Address Details
Address
801 7Th Ave
City
State
Zip
76104-2733
Phone Number
682-885-4268
Fax Number
682-885-7956
person
Provider Business Mailing Address Details
Address
801 7Th Ave
City
State
Zip
76104-2733
Phone Number
682-885-4268
Fax Number
682-885-7956
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
License No.
H9626 (Texas)
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
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