Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | N8185 | TX |
N | 111NI0900X | Internist | N8185 | TX |
N | 207RC0000X | Internist - Cardiovascular Disease | N8185 | TX |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | N8185 | TX |
NPI | 1083812838 |
---|---|
Provider Name | Dr. Matthew Ryan Evans |
First Address | Denton, TX 76210-0102 |
Second Address | Denton, TX 76210-0102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 23/03/2016 |