Individual
EVAN RICHARD TANKERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
3129 MOLLY DR, HUNTSVILLE, TX 77340-6547
(256) 200-2788
Mailing address
3129 MOLLY DR, HUNTSVILLE, TX 77340-6547
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BEG849094531
BCBS ALABMA
AL
Enumeration date
06/12/2022
Last updated
09/11/2025
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