Evangelista, Anthony William

Evangelista, Anthony William is an sole proprietor health care provider with primary practice located at 350 E Interstate 20 , Arlington TX 76018-1119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Evangelista, Anthony William can be contacted via phone (817) 784-0222.

Contact Information

Primary practice address
350 E Interstate 20 Arlington TX 76018-1119
Fax: (817) 467-5819
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X K0028 Texas

Profile Details

NPI number 1922002302
LBN Legal business name Evangelista, Anthony William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2005
Last updated Apr 20th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922002302 NPPES
Texas MEDICAID P088X3726

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