Provider Demographics
NPI:1538966924
Name:EVANS, CARRESSA
Entity type:Individual
Prefix:
First Name:CARRESSA
Middle Name:
Last Name:EVANS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3737 BURKETT ST APT 36A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-8667
Mailing Address - Country:US
Mailing Address - Phone:832-983-2201
Mailing Address - Fax:
Practice Address - Street 1:3737 BURKETT ST APT 36A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-8667
Practice Address - Country:US
Practice Address - Phone:832-983-2201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker