Mark A. Evans, PA-C
General Practice Physician · Grainte, OK
Practice location
417 N MainGrainte, OK 73547
- Phone
- (580) 872-4362
- Fax
- (877) 785-6691
NPI record
- NPI
- 1205928983
- Entity type
- Individual (Type 1)
- Enumeration date
- September 29, 2006
- Last updated
- August 22, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Physician Primary | 208D00000X |
OK802 | OK |
| Physician Assistant | 363A00000X |
802 | OK |
Mailing address
PO Box 476Granite, OK 73547
- Phone
- (580) 872-4362
- Fax
- (877) 785-6691
About Mark Evans
Mark A. Evans, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 417 N Main, Grainte, OK 73547. The NPI number 1205928983 was assigned on September 29, 2006 and the record was last updated on August 22, 2024.
Mark Evans lists 2 licenses in the registry: #OK802 (OK) for General Practice Physician; #802 (OK) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Mark A. Evans, PA-C?
The NPI number is 1205928983.
What is the phone number of Mark Evans?
The phone number listed for the practice location is (580) 872-4362.
Where is Mark Evans located?
417 N Main, Grainte, OK 73547.
What is the taxonomy code for Mark Evans?
The primary taxonomy code is 208D00000X – General Practice Physician; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.