# CPR MEDICAL GROUP PA

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

## Provider details

- **NPI number:** 1316226459
- **Authorized official:** DR. DONNIE EVANS MD (PRESIDENT)
- **Authorized official phone:** (281) 440-7246

## Contact information

- **Practice address:** 921 FM 1960 RD W, SUITE 115 B, HOUSTON, TX 77090-2505
- **Practice address phone:** (281) 440-7246
- **Practice address fax:** (281) 440-7248
- **Mailing address:** 921 FM 1960 RD W, SUITE 115 B, HOUSTON, TX 77090-2505
- **Mailing address phone:** (281) 440-7246
- **Mailing address fax:** (281) 440-7248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | H5705 | TX | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | H57075 | TX | Yes |
| 363L00000X | Nurse Practitioner | H5705 | TX | — |

## Other

- **Enumeration date:** 08/08/2011
- **Last updated:** 01/04/2012