Healthcare Provider Details

I. General information

NPI: 1518362482
Provider Name (Legal Business Name): ANDREW EVANS PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2014
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 E REDD RD BLDG B
EL PASO TX
79912-7275
US

IV. Provider business mailing address

6399 FRANKLIN VIEW DR
EL PASO TX
79912-8147
US

V. Phone/Fax

Practice location:
  • Phone: 915-581-0712
  • Fax:
Mailing address:
  • Phone: 915-227-1160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: