OrganizationActive
Evolving Medical Integration Services, LLC
NPI 1811513666 · Oral & Maxillofacial Surgery (D.M.D.) · Frisco, TX
Provider details
- NPI number
- 1811513666
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chanelle Bevilacqua, Managing Member(214) 475-1523
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Practice location
5389 Monterey Dr
Frisco, TX 75034-4079
Phone: (214) 475-1523
Approximate (ZIP-level) locationGet directions
Mailing address
5389 Monterey Dr
Frisco, TX 75034-4079
Registry dates
- Enumerated
- 2020-06-17
- Last updated
- 2020-06-17
- Certified
- 2020-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.