Evolutionary Care Infusion, LLC
NPI 1417802703ActiveOrganization· Nurse Practitioner· Denton, TX
Nurse Practitioner in Denton, Texas, registered in NPPES in March 2026. The authorized official on file is Kamyar Ghazvini, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1417802703 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 2, 2026 |
| Last updated in NPPES | Jun 16, 2026 |
| Certified by provider | Jun 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Clinic/Center, Infusion Therapy | 261QI0500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
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All 26 nurse practitioners in Denton · All nurse practitioners in Texas