Organization
NORTH TEXAS LONG TERM CARE , P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY C EVANS D.O. (PRESIDENT/PHYSICIAN)
(940) 383-3444
Entity
Organization
Contact information
Practice address
3105 COLORADO BLVD, DENTON, TX 76210-6893
(940) 383-3444
Mailing address
3105 COLORADO BLVD, DENTON, TX 76210-6893
(940) 383-3444
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
J1993
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790781797
NPI
TX
Enumeration date
09/30/2015
Last updated
09/30/2015
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