Individual provider · Type 1 NPI
Jared M. Shipp, DPM
Foot & Ankle Surgery Podiatrist · Kingwood, TX
NPI number
1487915666
Active
Practice location
22999 Highway 59 N, Ste 294
Kingwood, TX 77339-4412
Mailing address
9191 Pinecroft Dr, Ste 100
Shenandoah, TX 77380-2797
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 2018 (TX) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1487915666
Jared M. Shipp, DPM's National Provider Identifier is 1487915666, issued on Jun 4, 2012. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Kingwood, TX. The record was last updated on Jun 14, 2021.