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Organization
EVALUATION NETWORK LLC
Active
Organization
EVALUATION NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRIYANKA VARGHESE (DIRECTOR OF OPERATIONS)
(800) 497-4917
Entity
Organization
Contact information
Practice address
4675 IH 30, SUITE 102, MESQUITE, TX 75150-2428
(800) 497-4917
Mailing address
4675 IH 30, SUITE 102, MESQUITE, TX 75150-2428
(800) 497-4917
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
133N00000X
Nutritionist
—
NULL
133N00000X
Nutritionist
—
—
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
05/09/2011
Last updated
05/09/2011
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