Provider Demographics
NPI:1881834281
Name:EARLE, JAMES WALTER
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:WALTER
Last Name:EARLE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:654 CHISHOLM HILLS DR
Mailing Address - Street 2:
Mailing Address - City:RHOME
Mailing Address - State:TX
Mailing Address - Zip Code:76078-3123
Mailing Address - Country:US
Mailing Address - Phone:214-912-1323
Mailing Address - Fax:
Practice Address - Street 1:654 CHISHOLM HILLS DR
Practice Address - Street 2:
Practice Address - City:RHOME
Practice Address - State:TX
Practice Address - Zip Code:76078-3123
Practice Address - Country:US
Practice Address - Phone:214-912-1323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor