DR. ETHAN SAMUEL EVANS MD
NPI 1053053629
Student in an Organized Health Care Education/Training Program in Bryan, TX

Active since April 12, 2022
2900 E 29TH ST STE 300, BRYAN, TX 77802(972) 436-9162 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ethan Samuel Evans Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN SAMUEL EVANS MD (NPI 1053053629) is an individual student in an organized health care education/training program in Bryan, Texas and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1053053629
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ETHAN SAMUEL EVANSCredential: MD
Location Address2900 E 29TH ST STE 300Bryan, TX 77802-2623
Mailing Address2900 E 29th St Ste 300Bryan, TX 77802-2623 · (972) 436-9162
Sole ProprietorYes
Enumeration DateApril 12, 2022
NPPES CertifiedApril 12, 2022
NPI 1053053629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2900 E 29TH ST STE 300, Bryan, TX 77802

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2900 E 29TH ST STE 300
BRYAN, TX 77802
Student in an Organized Health Care Education/Training Program
2900 E 29TH ST STE 300
BRYAN, TX 77802
Psychiatry & Neurology (Psychiatry)
2900 E 29TH ST STE 300
BRYAN, TX 77802
Student in an Organized Health Care Education/Training Program
2900 E 29TH ST STE 300
BRYAN, TX 77802
Student in an Organized Health Care Education/Training Program
2900 E 29TH ST STE 300
BRYAN, TX 77802
Student in an Organized Health Care Education/Training Program
2900 E 29TH ST STE 300
BRYAN, TX 77802
Student in an Organized Health Care Education/Training Program
2900 E 29TH ST STE 300
BRYAN, TX 77802
Student in an Organized Health Care Education/Training Program
2900 E 29TH ST STE 300
BRYAN, TX 77802

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Evans's NPI number?

The NPI number for Ethan Evans is 1053053629. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Ethan Evans located?

Ethan Evans practices at 2900 E 29th St Ste 300, Bryan, TX 77802. The listed phone number is (972) 436-9162.

What is Ethan Evans's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ethan Evans was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.