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Individual

DR. GARY CHARLES MASHIGIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
4333 N JOSEY LN, STE 206, CARROLLTON, TX 75010-4631
(972) 939-1757
(972) 939-1682
Mailing address
4333 N JOSEY LN, STE 206, CARROLLTON, TX 75010-4631
(972) 625-7009

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
0948
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0948
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130992404
TX
01
86981S
BCBS PROVIDER NUMBER
TX
Enumeration date
12/23/2005
Last updated
08/29/2016
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