Individual
DR. JACQUELINE CELESTE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3551 ROGER BROOKE DR # 3600, FORT SAM HOUSTON, TX 78234
(210) 916-6129
Mailing address
3551 ROGER BROOKE DR # 3600, FORT SAM HOUSTON, TX 78234-4504
(210) 916-6129
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101266493
VA
207P00000X
Emergency Medicine Physician
28928
NE
207P00000X
Emergency Medicine Physician
S4757
TX
Other
Enumeration date
05/20/2014
Last updated
01/08/2021
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