Individual
EVELYN BOYKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 VERA CRUZ DR., ROSENBERG, TX 77471
(832) 673-1513
(832) 363-3348
Mailing address
1035 VERA CRUZ DR, ROSENBERG, TX 77471-4125
(832) 673-1513
(832) 363-3348
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
10907059
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47297243
EIN
TX
Enumeration date
02/04/2015
Last updated
02/04/2015
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