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NPI Code Detail

MEDICARE: DR. EVAN SUMNER AU.D.

MEDICARE: DR. EVAN SUMNER AU.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
1231H00000XAudiologist81228TX

General Provider Information

NPI Number : 1336710789
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EVAN SUMNER AU.D.
Provider Business Mailing Address
First Line : 2443 FM 1488 RD APT 4303
Second Line :
City : CONROE
State : TX
Zip : 77384-4944
Country : US
Telephone Number : 620-482-0079
Fax Number :
Provider Business Practice Location Address
First Line : 2520 WW THORNE BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77073-3406
Country : US
Telephone Number : 281-985-6491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2021
Last Update Date : 01/05/2023

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