Provider Demographics
NPI:1952032625
Name:EVANS, DREBA RENEE (QMHP)
Entity Type:Individual
Prefix:MRS
First Name:DREBA
Middle Name:RENEE
Last Name:EVANS
Suffix:
Gender:F
Credentials:QMHP
Other - Prefix:MS
Other - First Name:DREBA
Other - Middle Name:RENEE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:QMHP
Mailing Address - Street 1:350 N SAM HOUSTON PKWY E STE 121
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3398
Mailing Address - Country:US
Mailing Address - Phone:832-761-3176
Mailing Address - Fax:
Practice Address - Street 1:350 N SAM HOUSTON PKWY E STE 121
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3398
Practice Address - Country:US
Practice Address - Phone:832-761-3176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-22
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator