| Evolution Health Services | |
|
3720 Gattis School Rd Ste 800 Round Rock TX 78664-4660 | |
| (808) 646-1691 | |
| Not Available |
| Full Name | Evolution Health Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 3720 Gattis School Rd Ste 800, Round Rock, Texas |
| Authorized Official Name and Position | Jeffrey Daniel Hannah (OWNER) |
| Authorized Official Contact | 7372225553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Health Services 3720 Gattis School Rd Ste 800 Round Rock TX 78664-4660 Ph: (737) 222-5553 | Evolution Health Services 3720 Gattis School Rd Ste 800 Round Rock TX 78664-4660 Ph: (808) 646-1691 |
| NPI Number | 1801468210 |
|---|---|
| Provider Enumeration Date | 07/14/2021 |
| Last Update Date | 12/22/2021 |
| Medicare PECOS PAC ID | 3678970233 |
|---|---|
| Medicare Enrollment ID | O20210923002810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801468210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Provider Name | Christopher Hall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780905091 PECOS PAC ID: 7517213473 Enrollment ID: I20210923003031 |
| Provider Name | Mario Martinez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811425820 PECOS PAC ID: 0941574875 Enrollment ID: I20220709000458 |
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