CHARLES A EVANS MD PA NPI 1427275858

NPI Information

NPI: 1427275858
Provider Name: CHARLES A EVANS MD PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
203 CHRISTIE STREET
LUFKIN, TX
ZIP 75904
Phone: (936) 699-5433
Get Directions

CHARLES A EVANS MD PA is a family medicine in Lufkin, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHARLES A EVANS MD PA NPI is 1427275858. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

203 CHRISTIE STREET
LUFKIN, TX
ZIP 75904
Phone: (936) 699-5433
Fax: (936) 699-5465

The provider's authorized official is Tracy Evans .
The authorized official title is Administrator and has the following contact phone number (936) 699-5433.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 1/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		J3094	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	DE7007	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	RR MCARE GROUP ID#
2	F48241	MEDICARE UPIN	TEXAS
3	123490806	MEDICAID	TEXAS
4	179637701	MEDICAID	TEXAS
5	8F2949	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MCARE INDIVIDUAL PROV#
6	00W502	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	MCARE GROUP#
7	P00310208	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	RR MCARE INDIV PROV#
8	J3094	OTHER	TEXAS	STATE MEDICAL LICENSE #
9	0066MT	OTHER	TEXAS	BCBS PROV#

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »