Healthcare Provider Details

I. General information

NPI: 1508539990
Provider Name (Legal Business Name): EVELYN CAULEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2021
Last Update Date: 07/30/2021
Certification Date: 07/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 PINELOCH DR STE 600
HOUSTON TX
77062-2736
US

IV. Provider business mailing address

1051 PINELOCH DR STE 400
HOUSTON TX
77062-2739
US

V. Phone/Fax

Practice location:
  • Phone: 281-461-6888
  • Fax: 866-237-5824
Mailing address:
  • Phone: 281-461-6888
  • Fax: 866-237-5824

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: