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NPI Code Detail

MEDICARE: DR. WALTER F EVANS II M. D.

MEDICARE:  DR. WALTER F EVANS II M. D.
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
1207V00000XObstetrics & Gynecology PhysicianF5533TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598747750
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WALTER F EVANS II M. D.
Provider Business Mailing Address
First Line : 8160 WALNUT HILL LN
Second Line : SUITE 214, LOCKBOX 40
City : DALLAS
State : TX
Zip : 75231-4339
Country : US
Telephone Number : 214-739-1300
Fax Number : 214-739-0622
Provider Business Practice Location Address
First Line : 8160 WALNUT HILL LN
Second Line : SUITE 214, LOCKBOX 40
City : DALLAS
State : TX
Zip : 75231-4339
Country : US
Telephone Number : 214-739-1300
Fax Number : 214-739-0622
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2005
Last Update Date : 03/07/2014

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Directions to “ DR. WALTER F EVANS II M. D.” Practice Location

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