Organization
OXFORD LUNG PHYSICIANS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY N EVANS (PRESIDENT OWNER)
(662) 234-0119
Entity
Organization
Contact information
Practice address
2301 S LAMAR BLVD STE 100, 2301 S LAMAR BLVD STE 100, OXFORD, MS 38655-5373
(662) 234-0119
(662) 234-0090
Mailing address
PO BOX 768, 2301 S LAMAR BLVD. STE 100, OXFORD, MS 38655-0768
(662) 234-0119
(662) 234-0090
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
12109,17162,R862053
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115527
—
MS
05
—
05132705
—
MS
05
—
07906092
—
MS
01
—
P00143146
MCR UNITED HEALTHCARE
MS
01
—
P00239013
MCR UNITED HEALTHCARE
MS
Enumeration date
01/08/2007
Last updated
09/05/2007
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