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Contact Information

CHARLES A EVANS, MD
203 CHRISTIE ST.
LUFKIN, TX75904
 Phone: 936-699-5433
 Fax: 936-699-5465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CHARLES A EVANS · (Male)

NPI # 1255334538
Status Active
Credentials MD
Entity Individual
Enumeration date 05/31/2005
Last updated 09/24/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # J3094
  • TX Medicaid 123490806
  • TX Medicaid 179637701
  • TX Other BCBS 0066MT
  • TX Other J3094 STATE MEDICAL LICENSE
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER OF EAST TEXAS - (Acute Care)
    1201 WEST FRANK STREET
    LUFKIN, TX 75901
  • WOODLAND HEIGHTS MEDICAL CENTER - (Acute Care)
    505 SOUTH JOHN REDDITT DRIVE
    LUFKIN, TX 75904
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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