Individual
EVAN WAYNE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 RED RIVER ST, AUSTIN, TX 78701-1918
(727) 698-3826
Mailing address
301 BRAZOS ST UNIT 715, AUSTIN, TX 78701-4622
(727) 698-3826
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2022
Last updated
07/01/2024
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