Provider Demographics
NPI:1689611741
Name:LIPSKY, ARI M (MD)
Entity Type:Individual
Prefix:
First Name:ARI
Middle Name:M
Last Name:LIPSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11550 FUQUA ST
Mailing Address - Street 2:STE 205
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-4599
Mailing Address - Country:US
Mailing Address - Phone:713-701-9225
Mailing Address - Fax:
Practice Address - Street 1:11550 FUQUA ST
Practice Address - Street 2:STE 205
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77034-4599
Practice Address - Country:US
Practice Address - Phone:713-701-9225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72973207P00000X
NY223819207P00000X
TXP1347207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX303713701Medicaid
TX1689611741OtherTRICARE
TX303713702Medicaid
TX303713703Medicaid
TX303173704Medicaid
TX8DH238OtherBCBS
TX303713703Medicaid
TXTXB161084Medicare PIN
TX8DH238OtherBCBS
TX1689611741OtherTRICARE