| N Evans Einterprises Llc | |
|
417 N. Main Granite OK 73547 | |
| (580) 535-4598 | |
| (580) 535-4725 |
| Full Name | N Evans Einterprises Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 417 N. Main, Granite, Oklahoma |
| Authorized Official Name and Position | Nicole Evans (PRESIDENT) |
| Authorized Official Contact | 5807060113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| N Evans Einterprises Llc 417 North Main P.o. Box 243 Granite OK 73547-0243 Ph: (580) 535-4598 | N Evans Einterprises Llc 417 N. Main Granite OK 73547 Ph: (580) 535-4598 |
| NPI Number | 1396911830 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 08/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396911830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Oklahoma) | Primary |
| 363A00000X | Physician Assistant | 802 (Oklahoma) | Secondary |