Provider Demographics
NPI:1114007218
Name:PIPKIN, MICHAEL LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LEE
Last Name:PIPKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3701 KIRBY DR STE 994
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3928
Mailing Address - Country:US
Mailing Address - Phone:713-528-5075
Mailing Address - Fax:713-528-5076
Practice Address - Street 1:3701 KIRBY DR STE 994
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3928
Practice Address - Country:US
Practice Address - Phone:713-528-5075
Practice Address - Fax:713-528-5076
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2022-09-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXE12302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXB25528Medicare UPIN
TX00AM78Medicare ID - Type Unspecified