Individual
DR. RICKY LEE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 HOSPITAL DR, SUITE 250, BEAUMONT, TX 77701-4664
(490) 212-1000
(409) 813-3302
Mailing address
740 HOSPITAL DR, SUITE 250, BEAUMONT, TX 77701-4664
(490) 212-1000
(409) 813-3302
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
9600266
NC
207V00000X
Obstetrics & Gynecology Physician
Q3872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346009902
—
TX
05
—
8911537
—
NC
Enumeration date
07/19/2006
Last updated
11/18/2024
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