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Individual
LELAND JAMES EVANS
Active
Individual
LELAND JAMES EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15277
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA15277
PHYSICIAN ASSISTANT
TX
Enumeration date
11/28/2021
Last updated
01/26/2022
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