Evans, Edmond C

Evans, Edmond C is an individual health care provider with primary practice located at 400 Sw 25Th Ave , Mineral Wells TX 76067-8246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Evans, Edmond C can be contacted via phone (940) 325-7891.

Contact Information

Primary practice address
400 Sw 25Th Ave Mineral Wells TX 76067-8246
Phone: (940) 325-7891
Fax: (940) 328-6523
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D4484 Texas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X D4484 Texas

Profile Details

NPI number 1275561540
LBN Legal business name Evans, Edmond C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Apr 28th, 2017 - about 7 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 1275561540 NPPES
Texas MEDICAID 033822002
Texas Other 8U9490

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