Individual
BARBARA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 12TH AVE STE 130, FORT WORTH, TX 76104-3926
(817) 870-2637
(817) 529-2640
Mailing address
1001 12TH AVE STE 130, FORT WORTH, TX 76104-3926
(817) 870-2637
(817) 529-2640
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
871787
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
344032301
—
TX
Enumeration date
02/26/2015
Last updated
10/09/2015
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