NPIMap

Organization Active NPI

Evosource

  • Private Vehicle
  • Fresno, TX
National Provider Identifier
1275912735
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
EVOSOURCE
Practice address
1307 Peacham CT
Fresno, TX 77545
Phone
(281) 389-1461
Fax
(281) 849-4636
NPI assigned
May 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Mr. Emmitt Walton
Title
Owner
Phone
(281) 389-1461

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

1307 Peacham CT
Fresno, TX 77545

Mailing address

1307 Peacham CT
Fresno, TX 77545-9554
Phone (281) 389-1461

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1275912735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 PEACHAM CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775459554",
            "telephone_number": "281-389-1461",
            "fax_number": "281-849-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 PEACHAM CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "77545",
            "telephone_number": "281-389-1461",
            "fax_number": "281-849-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOSOURCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "EMMITT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-389-1461",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; 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.