Evans, Stanley
Evans, Stanley is an sole proprietor health care provider with primary practice located at 3105 Colorado Blvd , Denton TX 76210-6887. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Evans, Stanley can be contacted via phone (940) 383-3444.Contact Information
Primary practice address
3105 Colorado Blvd
Denton TX 76210-6887
Phone: (940) 383-3444
Fax: (940) 383-2224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J1993 | Texas |
Profile Details
| NPI number | 1790781797 |
|---|---|
| LBN Legal business name | Evans, Stanley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Sep 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790781797 | NPPES |
| Texas | MEDICAID | 092200701 | |
| Texas | Other | DOJ1993 | |
| Texas | Other | 752696679 | |
| Texas | Other | 00J74E |
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