Organization
SHERIDAN SCOTT EVANS M.D.P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIDAN SCOTT EVANS M.D.P.A. (MEDICAL DOCTOR)
(972) 548-5050
Entity
Organization
Contact information
Practice address
5605 VIRGINIA PKWY, SUITE 4, MCKINNEY, TX 75071-5533
(972) 548-5050
(972) 548-6901
Mailing address
5605 VIRGINIA PKWY, SUITE 4, MCKINNEY, TX 75071-5533
(972) 548-5050
(972) 548-6901
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
K9777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00581U
MEDICARE GROUP NUMBER
TX
01
—
8A2511
MEDICARE INDIVIDUAL PIN
TX
Enumeration date
11/01/2007
Last updated
11/01/2007
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