Individual
MRS. GAYLE ELAINE EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
7002 RIVERBROOK DR, SUITE 500, SUGAR LAND, TX 77479-6530
(281) 343-7125
(281) 343-7126
Mailing address
6203 WATERWALK CT, RICHMOND, TX 77469-7354
(281) 344-1067
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
108168
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T2566
BCBS PROVIDER NUMBER
TX
Enumeration date
04/02/2007
Last updated
07/08/2007
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