Provider Demographics
NPI:1790019883
Name:EVANS, DENNIS JON (DC)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:JON
Last Name:EVANS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 WEST LOOP S STE 560
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2903
Mailing Address - Country:US
Mailing Address - Phone:713-572-4100
Mailing Address - Fax:713-665-2299
Practice Address - Street 1:6300 WEST LOOP S STE 560
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2903
Practice Address - Country:US
Practice Address - Phone:713-572-4100
Practice Address - Fax:713-665-2299
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7840111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician