Individual
ELLEN R EVANS
Active
Individual
ELLEN R EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
14875
OK
207Q00000X
Family Medicine Physician
17202
NE
207Q00000X
Family Medicine Physician
G5030
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
14875
OK
207QG0300X
Geriatric Medicine (Family Medicine) Physician
17202
NE
207QG0300X
Geriatric Medicine (Family Medicine) Physician
G5030
TX
Other
Enumeration date
04/06/2007
Last updated
09/11/2025
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