Organization
ONYX MEDICAL AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK DEMONE EVANS CSFA (OWNER)
(214) 227-2457
Entity
Organization
Contact information
Practice address
1151 CLAIREMONT LN, BURLESON, TX 76028-0312
(214) 227-2457
(214) 764-0880
Mailing address
PO BOX 2550, ROWLETT, TX 75030-2550
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
—
—
208600000X
Surgery Physician
—
—
246ZC0007X
Surgical Assistant
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/27/2022
Last updated
05/21/2024
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