MEDICARE: ASHLEY AUSTIN EVANS PA-C

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	363A00000X	Physician Assistant	PA07480	TX

General Provider Information

NPI Number	:	1891041513
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY AUSTIN EVANS PA-C

Provider Business Mailing Address
First Line	:	13830 SAWYER RANCH RD
Second Line	:	SUITE 304
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-5513
Country	:	US
Telephone Number	:	512-454-3781
Fax Number	:

Provider Business Practice Location Address
First Line	:	13830 SAWYER RANCH RD
Second Line	:	SUITE 304
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-5513
Country	:	US
Telephone Number	:	512-454-3781
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2012
Last Update Date	:	03/29/2017

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