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Evan Shipp
NPI 1023378999 · on the registry since 2012 · sole proprietor
Practice
- Address
- 1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236 - Phone
- (512) 621-5529
- Clinicians at this address
- 598
Additional practice sites
- 3551 Roger Brooke Dr, Fort Sam Houston, TX
Registry record
- Primary taxonomy
- 1223S0112X
1223S0112X
- Also registered as
- 1223G0001X
- Licence states on file
- CA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas