Provider Demographics
NPI:1174652846
Name:DING, EVELYN (MD)
Entity type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:
Last Name:DING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 MARGARET CIR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737-1465
Mailing Address - Country:US
Mailing Address - Phone:512-971-6979
Mailing Address - Fax:512-549-7809
Practice Address - Street 1:3100 RED RIVER ST STE 1
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3298
Practice Address - Country:US
Practice Address - Phone:512-971-6979
Practice Address - Fax:512-549-7809
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2024-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9663207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine