Larry W Evans is a Pain Medicine in Lubbock, Texas. Larry W Evans practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Larry W Evans is 1770557373. The last update date is 2015-04-30.
Larry W Evans's current location address is 6202 Iola Ave Ste 101, Lubbock, Texas. You can contact this provider via phone number 8067992093 and fax number 8067830277. The mailing address for Larry W Evans is 6202 Iola Ave Ste 101, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry W Evans |
|---|---|
| Address | 6202 Iola Ave Ste 101, Lubbock, Texas |
| Phone Number | 8067992093 |
| Fax Number | 8067830277 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1770557373 |
|---|---|
| Provider Enumeration Date | 2006-02-13 |
| Last Updated Date | 2015-04-30 |
Provider Mailing Address Detail
| Address | 6202 Iola Ave Ste 101 |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794242729 |
| Phone Number | 8067992093 |
| Fax Number | 8067830277 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 207Lp2900X |
| Licence No | H6203 |
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Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 134049911 | TX | -- | |
| 752616977065 | TX | TRICARE CHAMPUS | |
| P00253558 | TX | MEDICARE RAILROAD | |
| 152248403 | TX | EPSDT | |
| 5683525 | TX | AETNA | |
| EV08J0375 | TX | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Larry W Evans by the Centers for Medicare & Medicaid Services?
The Larry W Evans has been assigned the NPI (National Provider Identifier) 1770557373 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Larry W Evans is geographically located?
The Larry W Evans is physically situated at the following location: 6202 Iola Ave Ste 101, Lubbock, TX, 794242729.
What is Larry W Evans's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Larry W Evans is Pain Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Lp2900X.
On what date did Larry W Evans receive its 1770557373 assignment from the Centers for Medicare & Medicaid Services?
The Larry W Evans was assigned its 1770557373 on 2006-02-13, 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 Larry W Evans's details last updated?
The information pertaining to the Larry W Evans, including its address, specialty, and other details, was most recently updated on 2015-04-30.