Evans, Jason
Evans, Jason is an individual health care provider with primary practice located at 1242 N 77 Sunshinestrip , Harlingen TX 78550-8825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Evans, Jason can be contacted via phone (956) 289-7000.Contact Information
Primary practice address
1242 N 77 Sunshinestrip
Harlingen TX 78550-8825
Phone: (956) 289-7000
Fax: (956) 289-7257
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | M9268 | Texas |
Profile Details
NPI number | 1306003900 |
---|---|
LBN Legal business name | Evans, Jason |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 21st, 2008 |
Last updated | May 21st, 2008 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306003900 | NPPES |
Texas | MEDICAID | 138708613 | |
Texas | MEDICAID | 138708611 | |
Texas | Other | 00R945 | |
Texas | MEDICAID | 138708602 |
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