Organization Name: | VON L. EVANS JR., M.D., P.A. |
NPI Number: | 1588818413 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LASEAN NEAL (A/R SPECIALIST) |
Mailing Address: | 11797 South Fwy Ste. 346 Burleson |
State: | TX US |
Postal Code: | 760287026 |
Phone Number: | 8179262663 |
Fax Number: | 8175463945 |
NPI Enumeration Date: | 11/05/2008 |
NPI Last Update Date: | 01/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | H3877 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |