Individual
DR. CARL R. EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1006 HWY 16 S, STE G, FREDERICKSBURG, TX 78624-4474
(830) 997-1317
(830) 997-0856
Mailing address
476 SUMMIT CIR, FREDERICKSBURG, TX 78624-5032
(830) 990-4378
(830) 997-0856
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G2957
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134411101
—
TX
Enumeration date
06/22/2005
Last updated
03/28/2012
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