Organization
M BRADLEY EVANS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL B EVANS (OWNER PHYSICIAN)
(972) 420-7212
Entity
Organization
Contact information
Practice address
324 W MAIN ST, 100, LEWISVILLE, TX 75057-3866
(972) 420-7212
(972) 420-8812
Mailing address
324 W MAIN ST, 100, LEWISVILLE, TX 75057-3866
(972) 420-7212
(972) 420-8812
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
08/06/2007
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