Provider Demographics
NPI:1427071612
Name:FLIPPO, KORIE LEIGH (MD)
Entity type:Individual
Prefix:DR
First Name:KORIE
Middle Name:LEIGH
Last Name:FLIPPO
Suffix:
Gender:F
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:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-1230
Mailing Address - Country:US
Mailing Address - Phone:972-997-8000
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:4708 ALLIANCE BLVD
Practice Address - Street 2:SUITE 150
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5340
Practice Address - Country:US
Practice Address - Phone:972-596-7801
Practice Address - Fax:972-596-9307
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6380207R00000X, 208M00000X, 207RX0202X, 207RH0003X
TNL6380207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX159227101Medicaid
TX159227102Medicaid
TXP01259259OtherRAILROAD MEDICARE
TX159227104Medicaid
TX159227105Medicaid
TX8DX189OtherBCBS OF TEXAS
TX8S3592OtherBCBS
TX8G5220YKYCMedicare PIN
TX8DX189OtherBCBS OF TEXAS
TXP00321871Medicare PIN
TX311676YM09Medicare PIN
TX159227102Medicaid
TX8A8209Medicare PIN
TXP00037436Medicare PIN