Evans, M. Bradley
Evans, M. Bradley is an sole proprietor health care provider with primary practice located at 324 W Main St Suite 100, Lewisville TX 75057-3866. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Evans, M. Bradley can be contacted via phone (972) 420-7212.Contact Information
Primary practice address
324 W Main St Suite 100
Lewisville TX 75057-3866
Phone: (972) 420-7212
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | M3218 | Texas |
Profile Details
| NPI number | 1407897952 |
|---|---|
| LBN Legal business name | Evans, M. Bradley |
| Credentials | MD PA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Apr 21st, 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 | 1407897952 | NPPES |
| Texas | Other | M3218 | MEDICAL LICENSE |
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