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Mr. Matthew Thomas Evans
Family Nurse Practitioner in Lackland Afb, Texas
NPI 1144728593

Matthew Thomas Evans is a Family Nurse Practitioner based in Lackland Afb, TX and is specialized in Family. Matthew Thomas Evans practices in Lackland Afb, TX. The NPI Number for Matthew Thomas Evans is 1144728593 and holds a License No. 4704277573 (Texas).

The current practice location address for Matthew Thomas Evans is 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX and can be reached out via phone at 210-292-3709.

Location: 1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX, 78236-5638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144728593
Provider Name
Matthew Thomas Evans
Credential
Provider Entity Type
Individual
Gender
Male
Address
1100 Wilford Hall Loop Bldg 4554, Lackland Afb, TX, 78236-5638
Phone Number
210-292-3709
Fax Number
Provider Enumeration Date
01/30/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1100 Wilford Hall Loop Bldg 4554
City
Lackland Afb
State
Texas
Zip
78236-5638
Phone Number
210-292-3709
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Wilford Hall Loop Bldg 4554
City
Lackland Afb
State
Texas
Zip
78236-5638
Phone Number
210-292-3709
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
4704277573 (Michigan)
Definition
Definition to come...
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