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Individual

DR. JAYME BALDERSON EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
JAYME EVANS

Contact information

Practice address
1401 MEDICAL PKWY STE 220, CEDAR PARK, TX 78613-5013
(512) 260-1581
Mailing address
6210 E HWY 290, AUSTIN, TX 78723-1142
(512) 483-9596
(512) 406-6216

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
BP1-0036617
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
341163901
ARC TRAVIS MEDICAID
TX
01
372462YKXV
MEDICARE TRAVIS COUNTY
TX
01
372462YKXY
MEDICARE WILLIAMSON COUNTY
TX
Enumeration date
06/02/2010
Last updated
06/18/2021
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