Evans, Larry W

Evans, Larry W is an individual health care provider with primary practice located at 6202 Iola Ave Ste 101 , Lubbock TX 79424-2729. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Evans, Larry W can be contacted via phone (806) 799-2093.

Contact Information

Primary practice address
6202 Iola Ave Ste 101 Lubbock TX 79424-2729
Phone: (806) 799-2093
Fax: (806) 783-0277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X H6203 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X H6203 Texas

Profile Details

NPI number 1770557373
LBN Legal business name Evans, Larry W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Apr 30th, 2015 - about 9 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 1770557373 NPPES
Texas MEDICAID 134049911
Texas Other 752616977065
Texas Other P00253558
Texas Other 152248403
Texas Other 5683525
Texas Other EV08J0375

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