MEDICARE: EVELYN E CRUZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	117609	TX

General Provider Information

NPI Number	:	1598625105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELYN E CRUZ

Provider Business Mailing Address
First Line	:	11929 UNIVERSITY BLVD STE 2B
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4757
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11929 UNIVERSITY BLVD STE 2B
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4757
Country	:	US
Telephone Number	:	281-829-8431
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2025
Last Update Date	:	05/18/2026

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Directions to “ EVELYN E CRUZ ” Practice Location

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