EVAN MAK – NPI #1619819786
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.

Health Care Provider Taxonomy Code for Military Health Care Provider

EVAN MAK is a military health care provider located in FORT SAM HOUSTON, TX. NPPES recently assigned the NPI number 1619819786 to EVAN MAK on April 08, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 171000000X from the Health Care Provider Taxonomy code set, which is classified as Military Health Care Provider.

See the complete NPI profile for EVAN MAK below.

NPI Profile for
EVAN MAK

NPI Number
1619819786
Enumeration Date

(about 2 months ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EVAN MAK
Primary location
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone: (210) 916-7500 Fax:
1 Other location(s):
1100 Wilford Hall Loop
Jbsa Lackland, TX 78236-5638
Phone: (210) 292-4277
Mailing address
17613 LOCUST ST
FOUNTAIN VALLEY, CA 92708-4544
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Apr 08, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
171000000X
- Military Health Care Provider (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.