EVOLVING MEDICAL INTEGRATION SERVICES LLC NPI 1811513666

NPI Information

  • NPI: 1811513666
  • Provider Name: EVOLVING MEDICAL INTEGRATION SERVICES, LLC
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Organization
  • Address: 5389 MONTEREY DR
    FRISCO, TX
    ZIP 75034
  • Phone: (214) 475-1523

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NPI Details

EVOLVING MEDICAL INTEGRATION SERVICES, LLC is an oral maxillofacial surgery in Frisco, TX. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. EVOLVING MEDICAL INTEGRATION SERVICES, LLC NPI is 1811513666. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5389 MONTEREY DR
FRISCO, TX
ZIP 75034-079
Phone: (214) 475-1523

The provider's authorized official is Chanelle Bevilacqua .
The authorized official title is Managing Member and has the following contact phone number (214) 475-1523.

The enumeration date for this NPI number is 6/17/2020 and was last updated on 6/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiologyNo
2204E00000XOral & Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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