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Individual

PATRICIA W EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
513 SAGE VALLEY DR, RICHARDSON, TX 75080-2324
(832) 298-6618
Mailing address
513 SAGE VALLEY DR, RICHARDSON, TX 75080-2324
(832) 298-6618

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L7925
TX
208M00000X
Hospitalist Physician
Primary
L7925
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
170807501
TX
01
170807502
CSHCN
TX
01
8P2603
BCBS
TX
Enumeration date
06/26/2006
Last updated
10/11/2012
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