Individual
TOMMY RAY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN CASE MANAGER
Contact information
Practice address
3100 SCHOFIELD RD, FORT SAM HOUSTON, TX 78234-7577
(210) 808-2506
Mailing address
3100 SCHOFIELD RD, FORT SAM HOUSTON, TX 78234-7577
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
9576104
FL
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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