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Individual

DR. MITCHELL D EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
116 N SADDLE RIDGE DR, CEDAR PARK, TX 78613-7718
(512) 789-4466
(512) 329-6898
Mailing address
116 N SADDLE RIDGE DR, CEDAR PARK, TX 78613-7718
(512) 789-4466
(512) 329-6898

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H2365
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117304902
TX
01
81G292
BC/BS
TX
Enumeration date
11/10/2005
Last updated
01/15/2015
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