Provider Demographics
NPI:1821443565
Name:EPPING, STEPHEN J (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:J
Last Name:EPPING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:5402 KINGSTON DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-4067
Mailing Address - Country:US
Mailing Address - Phone:214-531-8385
Mailing Address - Fax:971-233-6383
Practice Address - Street 1:5402 KINGSTON DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-4067
Practice Address - Country:US
Practice Address - Phone:214-531-8385
Practice Address - Fax:971-233-6383
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-02
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ARE-12175207Q00000X
CODR.0067810207Q00000X
TXS4628207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine