MEDICARE: EVO HEALTH

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1467127258
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVO HEALTH

Provider Business Mailing Address
First Line	:	3766 W ARBY AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-5206
Country	:	US
Telephone Number	:	702-340-2726
Fax Number	:

Provider Business Practice Location Address
First Line	:	3766 W ARBY AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89118-5206
Country	:	US
Telephone Number	:	702-340-2726
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	TYSON RAYMOND DELACRUZ
Credential	:
Telephone Number	:	702-340-2726

Provider Enumeration Date	:	08/12/2021
Last Update Date	:	08/12/2021

Similar Medicare Providers

1114378163 — VICTORIA TRICE
Practice Location Address:

10231 AUDOBON PEAK AVE
LAS VEGAS, NV
89166-5206

Practice Phone: 725-261-0261
Practice Fax:

1518424993 — CHELSEA OSTROFF LCSW
Practice Location Address:

2510 EAST SUNSET ROAD , SUITE 5 #962
LAS VEGAS, NV
89120-5206

Practice Phone: 702-582-9094
Practice Fax:

1063071728 — AS TIME GOES BY
Practice Location Address:

4149 JORY TRL
LAS VEGAS, NV
89108-5206

Practice Phone: 702-655-7175
Practice Fax: 702-655-7175

1124445713 — HECTOR BERMUDEZ
Practice Location Address:

1740 BOSTON DR
LAS CRUCES, NM
88001-5206

Practice Phone: 575-635-8124
Practice Fax: 575-524-4266

1245720010 — TAG 2 COLLABORATION
Practice Location Address:

5860 WYNN RD STE B
LAS VEGAS, NV
89118-3063

Practice Phone: 732-702-2300
Practice Fax:

1093663742 — KRISTINE DAVID PT
Practice Location Address:

4275 W BELL DR STE 6
LAS VEGAS, NV
89118-1734

Practice Phone: 575-791-0341
Practice Fax:

Directions to “EVO HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.