Individual
MR. MICHAEL WINSTON EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2555 JIMMY JOHNSON BLVD, PORT ARTHUR, TX 77640-2007
(409) 724-7389
(409) 853-5917
Mailing address
755 N 11TH ST, STE P3600, BEAUMONT, TX 77702-1515
(409) 724-7389
(337) 433-9861
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
675533
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190753701
—
TX
Enumeration date
10/22/2007
Last updated
12/23/2020
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