Provider Demographics
NPI:1831393735
Name:EASTMAN, ALEXANDER LAURANCE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:LAURANCE
Last Name:EASTMAN
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 845347
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-7208
Mailing Address - Country:US
Mailing Address - Phone:214-648-0299
Mailing Address - Fax:214-648-5477
Practice Address - Street 1:5323 HARRY HINES BLVD # MC9158
Practice Address - Street 2:DEPARTMENT OF SURGERY--BTCC
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-9158
Practice Address - Country:US
Practice Address - Phone:214-648-0299
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2009-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL86762086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery