D Brent Evans is a Clinical in San Antonio, Texas. D Brent Evans practices all healthcare services and medical treatments related to Clinical. The NPI Number for D Brent Evans is 1366559312. The last update date is 2007-07-08.
D Brent Evans's current location address is 8607 Wurzbach Rd Bldg V, San Antonio, Texas. You can contact this provider via phone number 2106999290 and fax number 2106999282. The mailing address for D Brent Evans is 8607 Wurzbach Rd Bldg V, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | D Brent Evans |
|---|---|
| Address | 8607 Wurzbach Rd Bldg V, San Antonio, Texas |
| Phone Number | 2106999290 |
| Fax Number | 2106999282 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1366559312 |
|---|---|
| Provider Enumeration Date | 2006-08-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8607 Wurzbach Rd Bldg V |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782401303 |
| Phone Number | 2106999290 |
| Fax Number | 2106999282 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 341 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A997786 | TX | VALUE OPTIONS | |
| 2619440 | TX | AETNA | |
| 743019457001 | TX | CIGNA | |
| 00S02D | TX | BLUE CROSS BLUE SHIELD | |
| 371 | TX | LICENSE |
Post Comment/ Review Below
What is the D Brent Evans's 1366559312?
The D Brent Evans's NPI (National Provider Identifier) Number is 1366559312. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where D Brent Evans's facilities are situated?
The facilities of D Brent Evans are physically located at the following address: 8607 Wurzbach Rd Bldg V, San Antonio, TX, 782401303.
What is D Brent Evans's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for D Brent Evans is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1366559312 to D Brent Evans?
The D Brent Evans received its 1366559312 assignment from the Centers for Medicare & Medicaid Services on 2006-08-24.
As of what date were the details related to D Brent Evans most recently updated or revised?
The information pertaining to D Brent Evans, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.