DR. Ethan Samuel Evans, MD

NPI #1053053629 in Bryan, Texas

Provider Information

NPI Number
1053053629
Entity Type
Individual
Name
DR. Ethan Samuel Evans, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Credential
MD
Enumeration Date
Apr 12, 2022
Last Updated
Apr 12, 2022

Practice Location

Address
2900 E 29TH ST STE 300
City
Bryan
State
Texas
ZIP Code
77802-2623
Phone
(972) 436-9162

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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