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Organization
KEITH A. EVANS, DC,PC
Active
Organization
KEITH A. EVANS, DC,PC
Active
Other names
Beaumont Spinal Care Associates
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH ALAN EVANS D.C. (PRESIDENT)
(409) 833-5600
Entity
Organization
Contact information
Practice address
4220 TREADWAY RD, BEAUMONT, TX 77706-7105
(409) 833-5600
(409) 833-2111
Mailing address
4220 TREADWAY RD, BEAUMONT, TX 77706-7105
(409) 833-5600
(409) 833-2111
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5213
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000016HG
BLUE CROSS BLUE SHIELD OF TX GROUP #
TX
Enumeration date
12/11/2006
Last updated
05/16/2008
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