| NPI | 1982462776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALEXANDER EVANS Owner/Doctor 936-671-1291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |