Provider Demographics
NPI:1407850464
Name:LIPSKY, WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:LIPSKY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:555 E MEDICAL CENTER BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4367
Mailing Address - Country:US
Mailing Address - Phone:281-488-7213
Mailing Address - Fax:281-488-1387
Practice Address - Street 1:555 E MEDICAL CENTER BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4367
Practice Address - Country:US
Practice Address - Phone:281-488-7213
Practice Address - Fax:281-488-1387
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXE9283207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX135477106Medicaid
TX180023985Medicare PIN
TX135477106Medicaid
TX89X371Medicare PIN