Individual
KURT J EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1050 W ARKANSAS LN, ARLINGTON, TX 76013-6308
(817) 702-1100
(817) 702-4801
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-2450
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
H2120
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116143204
—
TX
01
—
8ER621
BCBS
TX
01
—
P01488718
RAILROAD MEDICARE
TX
Enumeration date
05/30/2006
Last updated
10/01/2018
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