Provider Demographics
NPI:1730450610
Name:EVANS, BRANDON DANIEL (DC)
Entity type:Individual
Prefix:
First Name:BRANDON
Middle Name:DANIEL
Last Name:EVANS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13986 MILL TOWN DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-0464
Mailing Address - Country:US
Mailing Address - Phone:469-269-6919
Mailing Address - Fax:
Practice Address - Street 1:13986 MILL TOWN DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-0464
Practice Address - Country:US
Practice Address - Phone:469-269-6919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-24
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13767111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation