Individual
WALTER PHILMORE EVANS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-9729
(214) 645-9829
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-9729
(214) 645-9829
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D9435
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139931325
—
TX
Enumeration date
04/18/2006
Last updated
12/03/2007
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