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NPI Code Detail

MEDICARE: EVANKYLE & PRICE INCORPORATED LLC

MEDICARE: EVANKYLE & PRICE INCORPORATED LLC
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
1122300000XDentist

General Provider Information

NPI Number : 1114226586
Entity Type Code : Organization
Provider Name (Legal Business Name) : EVANKYLE & PRICE INCORPORATED LLC
Provider Business Mailing Address
First Line : 8410 FONDREN RD
Second Line :
City : HOUSTON
State : TX
Zip : 77074-5616
Country : US
Telephone Number : 832-693-4241
Fax Number : 713-272-8201
Provider Business Practice Location Address
First Line : 8410 FONDREN RD
Second Line :
City : HOUSTON
State : TX
Zip : 77074-5616
Country : US
Telephone Number : 832-693-4241
Fax Number : 713-272-8201
Authorized Official
Title or Position : MANAGER
Name : MR. WESLEY SIMMONS
Credential :
Telephone Number : 832-693-4241
Provider Enumeration Date : 03/23/2011
Last Update Date : 03/23/2011

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Directions to “EVANKYLE & PRICE INCORPORATED LLC ” Practice Location

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