Kipp, Mark B

Kipp, Mark B is an individual health care provider with primary practice located at 800 W Randol Mill Rd , Arlington TX 76012-2504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kipp, Mark B can be contacted via phone (817) 548-6202.

Contact Information

Primary practice address
800 W Randol Mill Rd Arlington TX 76012-2504
Phone: (817) 548-6202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X L1910 Texas

Profile Details

NPI number 1235108895
LBN Legal business name Kipp, Mark B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jan 21st, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235108895 NPPES
Texas Other 8B7646 BCBS THRU AEMA
Texas Other 8BT323 BCBS THRU AEMA
Texas Other P00869641 BCBS THRU AEMA
Texas MEDICAID 147460303 BCBS THRU AEMA
Texas MEDICAID 147460302 BCBS THRU AEMA
Texas Other P00148167 BCBS THRU AEMA

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