Provider Demographics
NPI:1083825467
Name:EVANS, SETH H (MD)
Entity Type:Individual
Prefix:
First Name:SETH
Middle Name:H
Last Name:EVANS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1180 SETON PARKWAY
Mailing Address - Street 2:SUITE 330
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-6179
Mailing Address - Country:US
Mailing Address - Phone:512-550-0321
Mailing Address - Fax:512-268-4600
Practice Address - Street 1:1180 SETON PARKWAY
Practice Address - Street 2:SUITE 330
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-6179
Practice Address - Country:US
Practice Address - Phone:512-550-0321
Practice Address - Fax:512-268-4600
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2015-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP0825207YX0905X, 207YX0602X
PAMD440336207YX0905X
VA0101246779207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
No207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic Allergy