Healthcare Provider Details

I. General information

NPI: 1366555930
Provider Name (Legal Business Name): PAMELA DENISE EVANS DIRECTOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E YESO DR
HOBBS NM
88240-4036
US

IV. Provider business mailing address

510 E YESO DR
HOBBS NM
88240-4036
US

V. Phone/Fax

Practice location:
  • Phone: 505-397-2801
  • Fax: 505-393-4132
Mailing address:
  • Phone: 575-441-9675
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: