Lippman, Phil

Lippman, Phil is an individual health care provider with primary practice located at 1737 Briarcrest Dr Suite 14, Bryan TX 77802-2769. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Lippman, Phil can be contacted via phone (979) 776-4777.

Contact Information

Primary practice address
1737 Briarcrest Dr Suite 14 Bryan TX 77802-2769
Phone: (979) 776-4777
Fax: (979) 776-0588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 39303 Texas

Profile Details

NPI number 1750483459
LBN Legal business name Lippman, Phil
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated May 20th, 2015 - about 10 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 1750483459 NPPES
Texas MEDICAID 109733905

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