# EVANS FAMILY DENTAL, PA

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

## Provider details

- **NPI number:** 1356678916
- **Authorized official:** DR. JAMES FREDERIC EVANS D.D.S. (PRESIDENT)
- **Authorized official phone:** (512) 461-0394

## Contact information

- **Practice address:** 9001 BRODIE LN., SUITE C1, AUSTIN, TX 78748
- **Practice address phone:** (512) 282-5900
- **Mailing address:** 9001 BRODIE LN., SUITE C1, AUSTIN, TX 78748
- **Mailing address phone:** (512) 282-5900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 19741 | TX | Yes |

## Other

- **Enumeration date:** 11/03/2009
- **Last updated:** 11/12/2009