Individual
DR. PRISCO TINIO EVANGELISTA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
4331 MEADOWBANK DR, SEABROOK, TX 77586-4120
(281) 474-5057
(281) 474-7073
Mailing address
4331 MEADOWBANK DR, SEABROOK, TX 77586-4120
(281) 474-5057
(281) 474-7073
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
F7456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002578
—
TX
Enumeration date
04/13/2007
Last updated
07/08/2007
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