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Individual

MICHAEL TAYLOR EVETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
150 N ROADRUNNER PKWY, LAS CRUCES, NM 88011
(575) 556-6440
(575) 556-6445
Mailing address
11001 CALLANISH PARK DR, AUSTIN, TX 78750-3600
(678) 276-5019

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
02/19/2018
Last updated
02/19/2018
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