Oto-HNS

Primary specialty

SpecialistTaxonomy code 174400000X

License

M3218 Issued in TX

Legal business name

OTO-HNS

Doing business as

Assoc of Ear, Nose & Throat Surgery

Practice address

324 W Main St
Suite 100
Lewisville, TX 75057-3866

Phone

(972) 420-7212

Fax

(972) 420-8812

NPI assigned

Apr 15, 2008

Last updated

Apr 15, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Bradley Evasn, M.D.

Title

Owner

Phone

(972) 420-7212

Specialties & licenses 1

Addresses

Other names 1

• Assoc of Ear, Nose & Throat Surgery Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1194999789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573866",
            "telephone_number": "972-420-7212",
            "fax_number": "972-420-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 W MAIN ST",
            "address_2": "SUITE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573866",
            "telephone_number": "972-420-7212",
            "fax_number": "972-420-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTO-HNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "EVASN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-420-7212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M3218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assoc of Ear, Nose & Throat Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Orthofix US LLC
• Shebna Nwayobuije Osanmoh I, PMHNP-BC
• Jaycie Kayle Osborne
• Anita Osiebo
• Nicole Osimiri
• Kirsten Otsuji, FNP
• Madison Brown Ottoboni, MS, RD, LD
• Ourcare of Texas, Inc.
• Carol Renee Overbeck
• Kim Toi Gor Owens

• Specialist in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.