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Dr. Ethan Samuel Evans, MD
Student in an Organized Health Care Education/Training Program in Bryan, Texas
NPI 1053053629

Ethan Samuel Evans is a Student in an Organized Health Care Education/Training Program based in Bryan, TX. Ethan Samuel Evans practices in Bryan, TX and has the professional credentials of MD. The NPI Number for Ethan Samuel Evans is 1053053629 and holds a License No. (Texas).

The current practice location address for Ethan Samuel Evans is 2900 E 29Th St Ste 300, Bryan, TX and can be reached out via phone at 972-436-9162.

Location: 2900 E 29Th St Ste 300, Bryan, TX, 77802-2623
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053053629
Provider Name
Ethan Samuel Evans
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2900 E 29Th St Ste 300, Bryan, TX, 77802-2623
Phone Number
972-436-9162
Fax Number
Provider Enumeration Date
04/12/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2900 E 29Th St Ste 300
City
Bryan
State
Texas
Zip
77802-2623
Phone Number
972-436-9162
Fax Number
person
Provider Business Mailing Address Details
Address
2900 E 29Th St Ste 300
City
Bryan
State
Texas
Zip
77802-2623
Phone Number
972-436-9162
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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