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EVON MARIE ROSE DO, OTD
NPI 1720785728
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Active since February 09, 2023
7615 KENNEDY HL, SAN ANTONIO, TX 78235(210) 283-6438 Get Directions Write a Review

NPPES record last updated: April 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2024, Feb 9, 2023 (2 updates tracked since 2023).

About Evon Marie Rose Do, Otd NPPES

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

EVON MARIE ROSE DO, OTD (NPI 1720785728) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since February 2023. She maintains a secondary practice location in San Antonio.

NPPES Registry Identity

NPI1720785728
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEVON MARIE ROSECredential: DO, OTD
Location Address7615 KENNEDY HLSan Antonio, TX 78235-4437
Mailing Address6443 Lost ArborSan Antonio, TX 78240-4925 · (850) 543-0184
Phone(210) 283-6438
Sole ProprietorNo
Enumeration DateFebruary 9, 2023
Last NPPES UpdateApril 21, 20242 updates tracked since enumeration
NPPES CertifiedApril 21, 2024
✔ NPI 1720785728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
Also ListedOccupational TherapistTaxonomy 225X00000X · License 121057 (TX)
7615 KENNEDY HL, San Antonio, TX 78235
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Other Names 1

Former Name (1)Evon Marie Mikulecky Otd

Secondary Practice Location 1

Location 16035 Eckhert RdSan Antonio, TX 78240-3164 · Phone (210) 642-5300

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.

COLIN WU
Student in an Organized Health Care Education/Training Program
7615 KENNEDY HL
SAN ANTONIO, TX 78235
Bexar County (210) 283-6998
KANWAL MURAD JUSSA DO
Student in an Organized Health Care Education/Training Program
7615 KENNEDY HL
SAN ANTONIO, TX 78235
Bexar County (210) 283-6998
DR. FAHEEM MAHMOOD MD
Student in an Organized Health Care Education/Training Program
7615 KENNEDY HL
SAN ANTONIO, TX 78235
Bexar County (210) 829-6000
MR. ABEL MOSE THOMAS DO
Student in an Organized Health Care Education/Training Program
7615 KENNEDY HL
SAN ANTONIO, TX 78235
Bexar County (210) 283-6990
CLAYTON MITCHELL CHAMBON DO
Student in an Organized Health Care Education/Training Program
7615 KENNEDY HL
SAN ANTONIO, TX 78235
Bexar County (210) 283-6998
ALEXANDRO SEBASTIAN MORENO MD
Student in an Organized Health Care Education/Training Program
7615 KENNEDY HL
SAN ANTONIO, TX 78235
Bexar County (210) 283-6438
RHONDA COLLIER
Student in an Organized Health Care Education/Training Program
7615 KENNEDY HL
SAN ANTONIO, TX 78235
Bexar County (210) 890-4243
CRISTIAM MORENO TELLEZ MD
Student in an Organized Health Care Education/Training Program
7615 KENNEDY HL
SAN ANTONIO, TX 78235
Bexar County (210) 618-7124

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 Evon Rose's NPI number?

The NPI number for Evon Rose is 1720785728. It was assigned to this individual provider in the NPPES registry on February 9, 2023. The provider is also known as Evon Marie Mikulecky Otd.

Where is Evon Rose located?

Evon Rose practices at 7615 Kennedy Hl, San Antonio, TX 78235. The listed phone number is (210) 283-6438.

What is Evon Rose'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 Evon Rose was last updated on April 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.