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NPI Code Detail

MEDICARE: DR. RANDOLPH WARREN EVANS MD

MEDICARE: DR. RANDOLPH WARREN EVANS MD
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
12084N0400XNeurology PhysicianF1533TX

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 : 1780684076
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RANDOLPH WARREN EVANS MD
Provider Business Mailing Address
First Line : 1200 BINZ ST
Second Line : SUITE 1370
City : HOUSTON
State : TX
Zip : 77004-6933
Country : US
Telephone Number : 713-528-0725
Fax Number : 713-528-3628
Provider Business Practice Location Address
First Line : 1200 BINZ ST
Second Line : SUITE 1370
City : HOUSTON
State : TX
Zip : 77004-6933
Country : US
Telephone Number : 713-528-0725
Fax Number : 713-528-3628
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 08/29/2011

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