Individual
DR. ANTHONY WILLIAM EVANGELISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 E INTERSTATE 20, ARLINGTON, TX 76018-1119
(817) 784-0222
(817) 467-5819
Mailing address
3900 E MEXICO AVE STE 102, DENVER, CO 80210-3941
(720) 524-1001
(720) 524-1121
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
K0028
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P088X3726
—
TX
Enumeration date
06/13/2005
Last updated
04/20/2020
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