Evelyn Boykins
Individual provider Active NPI Driver · Rosenberg, TX
NPI 1275923815 · NPPES record last updated Feb 4, 2015
Key facts
- NPI
- 1275923815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- License
- 10907059 (TX)
- Practice address
- 1035 Vera Cruz Dr.
Rosenberg, TX 77471 - Phone
- (832) 673-1513
- Fax
- (832) 363-3348
- NPI assigned
- Feb 4, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10907059 | TX | MD | Driver |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 10907059 | TX | Yes |
Addresses
Primary practice location
1035 Vera Cruz Dr.
Rosenberg, TX 77471
Mailing address
1035 Vera Cruz Dr
Rosenberg, TX 77471-4125
Phone (832) 673-1513
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47297243 | Other | TX | EIN |
Other names
- Evelyn Boykins
Other providers in Rosenberg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.