| Donnie Evans Md Pa | |
|
1310 Horseshoe Dr Sugar Land TX 77478-3416 | |
| (281) 451-4654 | |
| Not Available |
| Full Name | Donnie Evans Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1310 Horseshoe Dr, Sugar Land, Texas |
| Authorized Official Name and Position | Donnie Evans (PRESIDENT) |
| Authorized Official Contact | 2814514654 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donnie Evans Md Pa 1313 Horseshoe Drive Sugar Land TX 77478 Ph: (281) 451-4654 | Donnie Evans Md Pa 1310 Horseshoe Dr Sugar Land TX 77478-3416 Ph: (281) 451-4654 |
| NPI Number | 1366722464 |
|---|---|
| Provider Enumeration Date | 08/19/2011 |
| Last Update Date | 08/19/2011 |
| Medicare PECOS PAC ID | 4981039690 |
|---|---|
| Medicare Enrollment ID | O20200127000181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366722464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | H5705 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | H5705 (Texas) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | H5705 (Texas) | Primary |
| Provider Name | Donnie Evans |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568578789 PECOS PAC ID: 4183614613 Enrollment ID: I20040609001306 |
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