Individual
DR. JASON EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1242 N 77 SUNSHINESTRIP, HARLINGEN, TX 78550-8825
(956) 289-7000
(956) 289-7257
Mailing address
PO BOX 1108, EDINBURG, TX 78540-1108
(956) 289-7000
(956) 289-7257
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M9268
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00R945
MEDICARE
TX
05
—
138708602
—
TX
05
—
138708611
—
TX
05
—
138708613
—
TX
Enumeration date
05/21/2008
Last updated
05/21/2008
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