Individual
JUSTIN BRENT EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 S 31ST ST, MS-11-AG062, TEMPLE, TX 76508
(254) 724-5815
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(855) 691-9890
(781) 276-6487
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
W2063
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2024
Last updated
03/10/2026
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