Individual
EVAN LOWELL HARDEGREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 N 18TH ST, ABILENE, TX 79601-2932
(325) 793-3100
(325) 793-3195
Mailing address
1201 N 18TH ST, ABILENE, TX 79601-2932
(325) 793-3100
(325) 793-3195
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
54127
MN
207RC0000X
Cardiovascular Disease Physician
Primary
P5986
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
05
—
ENROLLED
—
WI
01
—
P01034529
RAILROAD MEDICARE
MN
Enumeration date
06/17/2010
Last updated
07/30/2020
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