Evans, Matthew Thomas

Evans, Matthew Thomas is an individual health care provider with primary practice located at 1100 Wilford Hall Loop Bldg 4554 , Lackland Afb TX 78236-5638. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Evans, Matthew Thomas can be contacted via phone (210) 292-3709.

Contact Information

Primary practice address
1100 Wilford Hall Loop Bldg 4554 Lackland Afb TX 78236-5638
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704277573 Michigan

Profile Details

NPI number 1144728593
LBN Legal business name Evans, Matthew Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2018
Last updated Aug 31st, 2021 - about 3 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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