Individual
JOHN ALLAN EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
423 TREELINE PARK, SAN ANTONIO, TX 78209-2060
(210) 351-6500
Mailing address
PO BOX 8797, BELFAST, ME 04915-8797
(210) 351-6500
(210) 351-6509
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E6774
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
E6774
TX
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
E6774
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128027307
—
TX
01
—
P02601727
MCRR
TX
Enumeration date
06/09/2005
Last updated
04/14/2021
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