Provider Demographics
NPI:1285615674
Name:TRIPPE, KARL MICHAEL (MD)
Entity type:Individual
Prefix:
First Name:KARL
Middle Name:MICHAEL
Last Name:TRIPPE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7100 OLD MCGREGOR RD
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6120
Mailing Address - Country:US
Mailing Address - Phone:254-399-6545
Mailing Address - Fax:844-244-3902
Practice Address - Street 1:7100 OLD MCGREGOR RD
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6120
Practice Address - Country:US
Practice Address - Phone:254-399-6545
Practice Address - Fax:844-244-3902
Is Sole Proprietor?:No
Enumeration Date:2005-11-11
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK3028207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092311205Medicaid
TX092311205Medicaid