Provider Demographics
NPI:1013352871
Name:EVANS, HOPE RENEE (C PED)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:RENEE
Last Name:EVANS
Suffix:
Gender:F
Credentials:C PED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6105 WINDCOM CT
Mailing Address - Street 2:STE 100
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-7889
Mailing Address - Country:US
Mailing Address - Phone:972-403-7733
Mailing Address - Fax:
Practice Address - Street 1:6105 WINDCOM CT
Practice Address - Street 2:STE 100
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-7889
Practice Address - Country:US
Practice Address - Phone:972-403-7733
Practice Address - Fax:972-403-7744
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXCPED3972224L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist