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1679554232
BRIAN JOHN EASTRIDGE
FORT SAM HOUSTON, TX
NPI
1679554232
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0127X Surgery Trauma Surgery
(Licence: TX 0728)
Enumeration Date
2005-11-10
Last Update Date
2007-07-08
Business Address
DR. BRIAN JOHN EASTRIDGE M.D.
3400 RAWLEY E CHAMBERS AVE
FORT SAM HOUSTON, TX 78234-6315
Phone number: 210-916-7104
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Mailing Address
DR. BRIAN JOHN EASTRIDGE M.D.
3851 ROGER BROOKE DR MCHE-QD (CREDENTIALS)
FORT SAM HOUSTON, TX 78234-4501
Phone number: 210-916-7104
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