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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255334538 NPPES
Texas MEDICAID 123490806
Texas MEDICAID 179637701
Texas Other BCBS
Texas Other J3094

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