Individual
MONALIZA SANTOS EVANGELISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6411 FANNIN ST, HOUSTON, TX 77030-1501
(713) 500-5586
Mailing address
6431 FANNIN STREET, SUITE JJL 205-J, HOUSTON, TX 77030-1501
(713) 500-5586
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
N4403
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285424201 (MDACC)
—
TX
01
—
8CZ234 (MDACC)
BCBS
—
Enumeration date
10/28/2009
Last updated
08/06/2021
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