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Individual

DR. JOHN DAVID EVANICH

Active
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Individual

DR. JOHN DAVID EVANICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
L2878
TX
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
L2878
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
145018102
TX
01
200042050
RAILROAD MEDICARE
TX
01
8AJ226
BLUECROSS
TX
01
L2878
MEDICAL LICENSE
TX
Enumeration date
05/05/2006
Last updated
07/26/2018
Update your record

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