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NPI Code Detail

MEDICARE: DR. TANYA H. EVANS M.D.

MEDICARE: DR. TANYA H. EVANS M.D.
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
1207RG0100XGastroenterology PhysicianM9269TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1M9269OTHERTXMEDICAL LICENSE
28DH915OTHERTXBCBSTX
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306012356
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TANYA H. EVANS M.D.
Provider Business Mailing Address
First Line : PO BOX 35629
Second Line :
City : DALLAS
State : TX
Zip : 75235-0629
Country : US
Telephone Number : 214-424-2213
Fax Number : 214-231-2159
Provider Business Practice Location Address
First Line : 5236 W UNIVERSITY DR STE 3300
Second Line :
City : MCKINNEY
State : TX
Zip : 75071-8121
Country : US
Telephone Number : 972-562-4430
Fax Number : 817-424-3491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2008
Last Update Date : 06/15/2021

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