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Organization

CPR MEDICAL GROUP PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONNIE EVANS MD (PRESIDENT)
(281) 440-7246
Entity
Organization

Contact information

Practice address
921 FM 1960 RD W, SUITE 115 B, HOUSTON, TX 77090-2505
(281) 440-7246
(281) 440-7248
Mailing address
921 FM 1960 RD W, SUITE 115 B, HOUSTON, TX 77090-2505
(281) 440-7246
(281) 440-7248

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
H5705
TX
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
H57075
TX
363L00000X
Nurse Practitioner
H5705
TX

Other

Enumeration date
08/08/2011
Last updated
01/04/2012
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