Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evan Charles Mashigian

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093278319

Evan Charles Mashigian is a Psychiatry in Fort Worth, Texas. Graduated from Liberty Univ College of Osteopathic Medicine in 2019, 7 years ago. Practices with Acclaim Physician Group Inc, a 523-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma and Texas.

Years since qualifying
7
Trained at
Liberty Univ College of Osteopathic Medicine
Licensed in
OK, TX
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

1500 S Main St
Fort Worth, TX 76104-4917
Phone: (817) 702-1100
Fax: (817) 702-2140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1111 W 17th St # 241, Tulsa, OK 74107-1886 — (918) 561-8432

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence U9427 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OK)

Record details

NPI number1093278319
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2019
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024
Mailing addressPo Box 732973, Dallas, TX 75373-6843

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolLIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2019 (7 years in practice)
Group practice Acclaim Physician Group Inc — 523 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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