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NPI Code Detail

MEDICARE: CURTIS ALAN EVETTS M.D.

MEDICARE:   CURTIS ALAN EVETTS  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
12085R0202XDiagnostic Radiology PhysicianF3942TX

General Provider Information

NPI Number : 1851343354
Entity Type Code : Individual
Provider Name (Legal Business Name) : CURTIS ALAN EVETTS M.D.
Provider Business Mailing Address
First Line : 4777 US HIGHWAY 259
Second Line :
City : LONGVIEW
State : TX
Zip : 75605-7668
Country : US
Telephone Number : 903-663-4800
Fax Number : 903-663-0378
Provider Business Practice Location Address
First Line : 2001 N JEFFERSON AVE
Second Line :
City : MT PLEASANT
State : TX
Zip : 75455-2371
Country : US
Telephone Number : 903-577-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 07/08/2007

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Directions to “ CURTIS ALAN EVETTS M.D.” Practice Location

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