Individual
DR. MARY EVANS PHARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
5400-B RIDGE OAK DR., AUSTIN, TX 78731-4816
(512) 453-2155
(512) 458-8574
Mailing address
5400-B RIDGE OAK DR., AUSTIN, TX 78731-4816
(512) 453-2155
(512) 458-8574
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21954
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F30C
MY BCBS-TX PROVIDER NUMBE
TX
Enumeration date
08/01/2006
Last updated
07/08/2007
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