M. Bradley Evans in Lewisville - Otolaryngology

M. Bradley Evans - NPI 1407897952

M. Bradley Evans is a Otolaryngology in Lewisville, Texas. M. Bradley Evans practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for M. Bradley Evans is 1407897952. The last update date is 2014-04-21.

M. Bradley Evans's current location address is 324 W Main St, Lewisville, Texas. You can contact this provider via phone number 9724207212. The mailing address for M. Bradley Evans is 324 W Main St, Lewisville, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name M. Bradley Evans
Address 324 W Main St, Lewisville, Texas
Phone Number 9724207212
Fax Number
Sole Proprietor Y
Credentials MD PA

NPI Number Detail

NPI Number 1407897952
Provider Enumeration Date 2006-06-08
Last Updated Date 2014-04-21

Provider Mailing Address Detail

Address 324 W Main St
City Lewisville
State Texas (TX)
Post Code 750573866
Phone Number 9724207212
Fax Number

Provider's Primary Taxonomy Detail

Speciality Otolaryngology
Taxonomy 207Y00000X
Licence No M3218
Definition:
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
M3218 TX MEDICAL LICENSE

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FAQs about M. Bradley Evans

What is the M. Bradley Evans's 1407897952?

The M. Bradley Evans's NPI (National Provider Identifier) Number is 1407897952. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where M. Bradley Evans's facilities are geographically located?

The facilities of M. Bradley Evans are physically situated at the following location: 324 W Main St, Lewisville, TX, 750573866.

What is the M. Bradley Evans's specialty and taxonomy code?

The M. Bradley Evans's specialty is Otolaryngology, and the corresponding taxonomy code is 207Y00000X.

On what date did M. Bradley Evans receive its 1407897952 assignment from the Centers for Medicare & Medicaid Services?

The M. Bradley Evans was assigned its 1407897952 on 2006-06-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to M. Bradley Evans most recently updated or revised?

The information pertaining to M. Bradley Evans, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-21.

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