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General NPI Number Information
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NPI Number | 1942227574
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Entity Type | Individual
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Provider Name | PETER SHELBY EVANS M.D., FACEP
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Gender | Male
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Dates
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Enumeration Date | 07/17/2006
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1321 N 16TH ST
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City | ORANGE
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State | TX
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Zip | 77630-3609
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Country | US
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Telephone | 409-670-9898
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Fax | 409-670-9892
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Provider Business Mailing Address
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Address Line | 11431 LAKESIDE PLACE DR
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City | HOUSTON
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State | TX
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Zip | 77077-3236
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Country | US
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Telephone | 281-381-5375
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A49953
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | K8139
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License Number State | TX
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