Provider Demographics
NPI:1780861880
Name:SHOKO, NEPISTANCE (MD)
Entity type:Individual
Prefix:DR
First Name:NEPISTANCE
Middle Name:
Last Name:SHOKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NEPISTANCE
Other - Middle Name:
Other - Last Name:CHINOMONA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:15820 OAK POINTE DR
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76177-1563
Mailing Address - Country:US
Mailing Address - Phone:708-977-0777
Mailing Address - Fax:
Practice Address - Street 1:15820 OAK POINTE DR
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-1563
Practice Address - Country:US
Practice Address - Phone:708-977-0777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.118851207R00000X
TXR0655208100000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation