Evans, Maverick Benjamin

Evans, Maverick Benjamin is an individual health care provider with primary practice located at 1001 Wallace Blvd , Amarillo TX 79106-1735. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Evans, Maverick Benjamin can be contacted via phone (888) 236-4567.

Contact Information

Primary practice address
1001 Wallace Blvd Amarillo TX 79106-1735
Phone: (888) 236-4567
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 64910 Texas

Profile Details

NPI number 1669238978
LBN Legal business name Evans, Maverick Benjamin
Credentials LCDC-I
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2024
Last updated Feb 23rd, 2024 - about 2 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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