Individual
PHILLIP T EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12001 S. FWY, SUITE 101, BURLESON, TX 76028
(817) 615-4400
Mailing address
PO BOX 11219, FORT WORTH, TX 76110-0219
(817) 294-7444
(817) 294-7172
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
F8857
TX
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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