Provider Demographics
NPI:1215134598
Name:EARLE, TORRANCE L (LPT)
Entity type:Individual
Prefix:
First Name:TORRANCE
Middle Name:L
Last Name:EARLE
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25255 PINEY HEIGHTS LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77389-4157
Mailing Address - Country:US
Mailing Address - Phone:281-356-8645
Mailing Address - Fax:281-356-8447
Practice Address - Street 1:2616 S LOOP W STE 468
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2791
Practice Address - Country:US
Practice Address - Phone:832-814-3822
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1145043225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8B5892Medicare ID - Type Unspecified