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Organization

J. DAVID EVANICH, M.D. PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN DAVID EVANICH MD (PRESIDENT)
(972) 420-1776
Entity
Organization

Contact information

Practice address
1234 FM 407, STE 100, NORTH LAKE, TX 76226
(972) 420-1776
(972) 221-8685
Mailing address
5000 LONG PRAIRIE RD, FLOWER MOUND, TX 75028-2783
(972) 420-1776
(972) 221-8685

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L2878
TX

Other

Enumeration date
11/16/2011
Last updated
09/03/2021
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