Individual
JAMES DAVID EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 531-4500
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
L6880
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160814302
—
TX
01
—
75-2616977-042
TRICARE
TX
01
—
8U8511
BCBS
TX
Enumeration date
11/02/2006
Last updated
02/26/2015
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