# EVOSOURCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275912735
- **Authorized official:** MR. EMMITT WALTON (OWNER)
- **Authorized official phone:** (281) 389-1461

## Contact information

- **Practice address:** 1307 PEACHAM CT, FRESNO, TX 77545
- **Practice address phone:** (281) 389-1461
- **Practice address fax:** (281) 849-4636
- **Mailing address:** 1307 PEACHAM CT, FRESNO, TX 77545-9554
- **Mailing address phone:** (281) 389-1461
- **Mailing address fax:** (281) 849-4636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 347C00000X | Private Vehicle | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2015
- **Last updated:** 05/29/2015