Organization Active NPI

Evolution Medicine PLLC

  • Family Medicine Physician
  • Rockwall, TX
National Provider Identifier
1427724277
Registry record updated Aug 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
EVOLUTION MEDICINE PLLC
Practice address
860 E Ralph Hall Pkwy Ste 44
Rockwall, TX 75032-6877
Phone
(972) 658-0928
Fax
(972) 672-6912
NPI assigned
Aug 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2021

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

Authorized official

Name
John R Roland, MDNPI 1629011077
Title
Owner
Phone
(972) 658-0928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

860 E Ralph Hall Pkwy Ste 44
Rockwall, TX 75032-6877

Mailing address

860 E Ralph Hall Pkwy Ste 44
Rockwall, TX 75032-6877
Phone (972) 658-0928

National Provider Directory

National Provider Directory

Locations

860 E Ralph Hall Pkwy
Ste 44
Rockwall, TX 75032
Phone (972) 658-0928

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1629417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1427724277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E RALPH HALL PKWY STE 44",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326877",
            "telephone_number": "972-658-0928",
            "fax_number": "972-672-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E RALPH HALL PKWY STE 44",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326877",
            "telephone_number": "972-658-0928",
            "fax_number": "972-672-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLUTION MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-20",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-658-0928",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; 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.