Evosource

Private Vehicle · Fresno, TX

Organization Active NPI

NPI number 1275912735

Practice location

1307 Peacham Ct
Fresno, TX 77545
Phone
(281) 389-1461
Fax
(281) 849-4636

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NPI record

NPI
1275912735
Entity type
Organization (Type 2)
Enumeration date
May 29, 2015
Last updated
May 29, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Private Vehicle Primary 347C00000X — —
Non-emergency Medical Transport (VAN) 343900000X — —

Mailing address

1307 Peacham Ct
Fresno, TX 77545-9554
Phone
(281) 389-1461
Fax
(281) 849-4636

Authorized official

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

About Evosource

Evosource is a healthcare organization registered in the NPI registry with the primary taxonomy Private Vehicle (code 347C00000X). The practice location is 1307 Peacham Ct, Fresno, TX 77545. The NPI number 1275912735 was assigned on May 29, 2015 and the record was last updated on May 29, 2015.

The authorized official for this organization is Mr. Emmitt Walton, Owner.

Frequently asked questions

What is the NPI number of Evosource?

The NPI number is 1275912735.

What is the phone number of Evosource?

The phone number listed for the practice location is (281) 389-1461.

Where is Evosource located?

1307 Peacham Ct, Fresno, TX 77545.

What is the taxonomy code for Evosource?

The primary taxonomy code is 347C00000X – Private Vehicle; 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.

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