Individual
EVAN CHARLES MASHIGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-1100
(817) 702-2140
Mailing address
PO BOX 732973, DALLAS, TX 75373-6843
(817) 702-2140
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
U9427
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2019
Last updated
04/23/2024
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