Provider Demographics
NPI:1598086282
Name:SOUTHERN TEXAS PHYSICIAN NETWORK
Entity Type:Organization
Organization Name:SOUTHERN TEXAS PHYSICIAN NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-852-1550
Mailing Address - Street 1:2010 S CYNTHIA ST
Mailing Address - Street 2:STE. 107
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1386
Mailing Address - Country:US
Mailing Address - Phone:956-350-3901
Mailing Address - Fax:
Practice Address - Street 1:2010 S CYNTHIA ST
Practice Address - Street 2:STE. 107
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1386
Practice Address - Country:US
Practice Address - Phone:956-350-3901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty