Evans, Evan M

Evans, Evan M is an sole proprietor health care provider with primary practice located at 800 E Dawson St , Tyler TX 75701-2036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Evans, Evan M can be contacted via phone (903) 531-4500.

Contact Information

Primary practice address
800 E Dawson St Tyler TX 75701-2036
Phone: (903) 531-4500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X H6201 Texas

Profile Details

NPI number 1699749127
LBN Legal business name Evans, Evan M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Jun 19th, 2023 - about 2 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 1699749127 NPPES
Kentucky Other 000000527435 BS KY PROVIDER #
Kentucky MEDICAID 103066009 BS KY PROVIDER #
Kentucky Other 752616977007 BS KY PROVIDER #
Kentucky Other 8CU198 BS KY PROVIDER #
Kentucky MEDICAID 7100015000 BS KY PROVIDER #
Kentucky MEDICAID 103066004 BS KY PROVIDER #
Kentucky Other TIN PLUS 005 BS KY PROVIDER #
Kentucky MEDICAID 103066008 BS KY PROVIDER #
Kentucky Other 750818167013 BS KY PROVIDER #
Kentucky Other 8B0529 BS KY PROVIDER #
Kentucky Other 8M8275 BS KY PROVIDER #
Kentucky Other 752616977113 BS KY PROVIDER #

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