Evetts, Phyllis A.

Evetts, Phyllis A. is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4009. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Evetts, Phyllis A. can be contacted via phone (713) 792-6161.

Contact Information

Primary practice address
1515 Holcombe Blvd Houston TX 77030-4009
Phone: (713) 792-6161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 226922 Texas
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 226922 Texas

Profile Details

NPI number 1750455770
LBN Legal business name Evetts, Phyllis A.
Credentials R.N., ANP, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated May 31st, 2011 - about 13 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 1750455770 NPPES
Texas MEDICAID 153941301
Texas Other 8N2972
Texas Other 500027727

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