Provider Demographics
NPI:1093104382
Name:EPTING, MASHI
Entity Type:Individual
Prefix:
First Name:MASHI
Middle Name:
Last Name:EPTING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14785 PRESTON ROAD
Mailing Address - Street 2:SUITE 500, OFFICE 59
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-7876
Mailing Address - Country:US
Mailing Address - Phone:318-538-4761
Mailing Address - Fax:
Practice Address - Street 1:14785 PRESTON ROAD
Practice Address - Street 2:SUITE 500, OFFICE 59
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-7876
Practice Address - Country:US
Practice Address - Phone:318-538-4761
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist