MEDICARE: EVANS FAMILY CHIROPRACTIC

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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1447401070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVANS FAMILY CHIROPRACTIC

Provider Business Mailing Address
First Line	:	16211 CLAY RD STE 120
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-5421
Country	:	US
Telephone Number	:	281-856-8560
Fax Number	:

Provider Business Practice Location Address
First Line	:	16211 CLAY RD STE 120
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-5421
Country	:	US
Telephone Number	:	281-856-8560
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JULIAN EVANS
Credential	:	D.C.
Telephone Number	:	281-856-8560

Provider Enumeration Date	:	10/01/2008
Last Update Date	:	10/01/2008

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Directions to “EVANS FAMILY CHIROPRACTIC ” Practice Location

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