Charles A Evans Md Pa

LBN: Charles A Evans Md Pa
Charles A Evans Md Pa is an health care organization with primary practice located at 203 Christie Street , Lufkin TX 75904. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Charles A Evans Md Pa can be contacted via phone (936) 699-5433, or through Evans, Tracy via phone (936) 699-5433.

Contact Information

Primary practice address
203 Christie Street Lufkin TX 75904
Phone: (936) 699-5433
Fax: (936) 699-5465
Website:
Map and Directions
Authorized official contact:
Name: Evans, Tracy
Phone: (936) 699-5433

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J3094 Texas

Profile Details

NPI number 1427275858
LBN Legal business name Charles A Evans Md Pa
DBA Doing business as
Authorized official Evans, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Jan 30th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427275858 NPPES
Texas Other J3094 STATE MEDICAL LICENSE #
Texas MEDICAID 123490806 STATE MEDICAL LICENSE #
Texas Other 0066MT STATE MEDICAL LICENSE #
Texas MEDICAID 179637701 STATE MEDICAL LICENSE #

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