Organization
BAYSHORE FAMILY PRACTITIONERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD EVANS (PRESIDENT)
(713) 852-1500
Entity
Organization
Contact information
Practice address
2231 CENTER ST, STE. D, DEER PARK, TX 77536-4186
(281) 479-3670
(866) 457-4168
Mailing address
2231 CENTER ST, STE D, DEER PARK, TX 77536-4186
(281) 479-3670
(866) 457-4168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201928301
—
TX
Enumeration date
08/25/2008
Last updated
07/15/2009
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