| Charles A Evans Md Pa | |
|
203 Christie Street Lufkin TX 75904 | |
| (936) 699-5433 | |
| (936) 699-5465 |
| Full Name | Charles A Evans Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 203 Christie Street, Lufkin, Texas |
| Authorized Official Name and Position | Tracy Evans (ADMINISTRATOR) |
| Authorized Official Contact | 9366995433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles A Evans Md Pa 203 Christie Street Lufkin TX 75904 Ph: (936) 699-5433 | Charles A Evans Md Pa 203 Christie Street Lufkin TX 75904 Ph: (936) 699-5433 |
| NPI Number | 1427275858 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 01/30/2015 |
| Medicare PECOS PAC ID | 8820009533 |
|---|---|
| Medicare Enrollment ID | O20060509000858 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427275858 | NPI | - | NPPES |
| J3094 | Other | TX | STATE MEDICAL LICENSE # |
| 123490806 | Medicaid | TX | |
| 0066MT | Other | TX | BCBS PROV# |
| 179637701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J3094 (Texas) | Primary |
| Provider Name | Charles A Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255334538 PECOS PAC ID: 4284605379 Enrollment ID: I20040803000653 |
| Provider Name | Robert H Doan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063516300 PECOS PAC ID: 8527098250 Enrollment ID: I20121101000629 |
Michael Hunt Huber Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Frank Ave Ste 100, Lufkin, TX 75904 Phone: 936-639-2244 Fax: 936-634-9334 | |
Jerry L Spinks, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Gaslight Blvd, Lufkin, TX 75904 Phone: 936-639-2338 Fax: 936-639-2980 | |
Kevin W Farris M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 W Frank Ave, Suite 301, Lufkin, TX 75904 Phone: 936-632-7606 Fax: 936-632-1574 | |
In & Out Clinic Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3802 S Medford Dr, Lufkin, TX 75901 Phone: 936-634-2231 Fax: 936-634-8012 | |
Lufkin Lifestyle And Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 109 N 1st St, Lufkin, TX 75901 Phone: 369-632-2802 Fax: 369-286-3005 | |
Andrew J. Fercowicz, M.d.,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 202 S John Redditt Dr, Lufkin, TX 75904 Phone: 936-639-1005 Fax: 936-639-1006 | |
Varughese Puthenparampil Samuel Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1113 Ellis Ave, Lufkin, TX 75904 Phone: 936-637-2888 Fax: 936-634-2321 |