Provider Demographics
NPI:1598854572
Name:EPPES, ERIN (DPT)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:EPPES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1058
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:75840-0020
Mailing Address - Country:US
Mailing Address - Phone:903-389-7433
Mailing Address - Fax:903-389-7631
Practice Address - Street 1:1804 HINCHLIFFE RD
Practice Address - Street 2:
Practice Address - City:MEXIA
Practice Address - State:TX
Practice Address - Zip Code:76667-4005
Practice Address - Country:US
Practice Address - Phone:512-940-4652
Practice Address - Fax:254-237-5400
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1152139174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX162078301Medicaid
TXP99595Medicare UPIN