Evans, Connie H

Evans, Connie H is an individual health care provider with primary practice located at 3750 Commercial Ave , San Antonio TX 78221-3117. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Evans, Connie H can be contacted via phone (210) 334-3700.

Contact Information

Primary practice address
3750 Commercial Ave San Antonio TX 78221-3117
Phone: (210) 334-3700
Fax: (210) 923-4167
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 14587 Texas

Profile Details

NPI number 1689824971
LBN Legal business name Evans, Connie H
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2008
Last updated Feb 24th, 2010 - about 15 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 1689824971 NPPES
Texas Other 14587 TX STATE BOARD OF DENTAL EXAMINERS

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