| Sheridan Scott Evans M.d.p.a. | |
|
5605 Virginia Pkwy Suite 4 Mckinney TX 75071-5533 | |
| (972) 548-5050 | |
| (972) 548-6901 |
| Full Name | Sheridan Scott Evans M.d.p.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5605 Virginia Pkwy, Mckinney, Texas |
| Authorized Official Name and Position | Sheridan Scott Evans (MEDICAL DOCTOR) |
| Authorized Official Contact | 9725485050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheridan Scott Evans M.d.p.a. 5605 Virginia Pkwy Suite 4 Mckinney TX 75071-5533 Ph: (972) 548-5050 | Sheridan Scott Evans M.d.p.a. 5605 Virginia Pkwy Suite 4 Mckinney TX 75071-5533 Ph: (972) 548-5050 |
| NPI Number | 1295914737 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 11/01/2007 |
| Medicare PECOS PAC ID | 4880725217 |
|---|---|
| Medicare Enrollment ID | O20100629000831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295914737 | NPI | - | NPPES |
| 8A2511 | Other | TX | MEDICARE INDIVIDUAL PIN |
| 00581U | Other | TX | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | K9777 (Texas) | Primary |
| Provider Name | Sheridan Scott Evans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164439469 PECOS PAC ID: 9133250566 Enrollment ID: I20100629000852 |
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