Carl R. Evans, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

G2957 Issued in TX

Practice address

1006 Hwy 16 S
Ste G
Fredericksburg, TX 78624-4474

Phone

(830) 997-1317

Fax

(830) 997-0856

NPI assigned

Jun 22, 2005

Last updated

Mar 28, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1922004175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 SUMMIT CIR",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245032",
            "telephone_number": "830-990-4378",
            "fax_number": "830-997-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 HWY 16 S",
            "address_2": "STE G",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786244474",
            "telephone_number": "830-997-1317",
            "fax_number": "830-997-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "CARL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "G2957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134411101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eh Home Health of Austin, LLC (Enhabit Home Health)
• El Campo Memorial Hospital
• Suzanne E Ellison, MD
• Nick C Engel, PT
• Ericka T McBrine DDS PA
• Emily J Evans, MS, RN, FNP-BC
• Evelyn K Hancock (Brillen Optical)
• George Walton Ewing IV, PHARMD
• Eye Country PLLC
• Dureshahwar J Fernandez, M.D.

• Anatomic Pathology & Clinical Pathology Physician in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; 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.