Provider Demographics
NPI:1518296763
Name:EVANS, LEE ESTHER (RPH)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:ESTHER
Last Name:EVANS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11994 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-6827
Mailing Address - Country:US
Mailing Address - Phone:281-556-5918
Mailing Address - Fax:281-556-5960
Practice Address - Street 1:11994 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-6827
Practice Address - Country:US
Practice Address - Phone:281-556-5918
Practice Address - Fax:281-556-5960
Is Sole Proprietor?:No
Enumeration Date:2009-12-17
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25861183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist