Evans, Charles Alexander
Evans, Charles Alexander is an sole proprietor health care provider with primary practice located at 203 Christie St. , Lufkin TX 75904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Evans, Charles Alexander can be contacted via phone (936) 699-5433.Contact Information
Primary practice address
203 Christie St.
Lufkin TX 75904
Phone: (936) 699-5433
Fax: (936) 699-5465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | J3094 | Texas |
Profile Details
| NPI number | 1255334538 |
|---|---|
| LBN Legal business name | Evans, Charles Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 31st, 2005 |
| Last updated | Sep 24th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255334538 | NPPES |
| Texas | MEDICAID | 123490806 | |
| Texas | MEDICAID | 179637701 | |
| Texas | Other | BCBS | |
| Texas | Other | J3094 |
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