Individual
EVITA KHO TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-4145
(254) 724-2111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP1253374
TX
Other
Enumeration date
03/13/2014
Last updated
08/11/2023
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