Individual provider · Type 1 NPI

Evan Mak

Military Health Care Provider · Fort Sam Houston, TX

NPI number 1619819786 Active

Practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Call (210) 916-7500 Map

Mailing address

17613 Locust St
Fountain Valley, CA 92708-4544

Other practice locations

  • 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236-5638 · (210) 292-4277

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

2,432 other providers at this address

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About NPI 1619819786

Evan Mak's National Provider Identifier is 1619819786, issued on Apr 8, 2026. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Fort Sam Houston, TX. The record was last updated on Apr 8, 2026.