Provider Demographics
NPI:1487915666
Name:SHIPP, JARED M (DPM)
Entity type:Individual
Prefix:DR
First Name:JARED
Middle Name:M
Last Name:SHIPP
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:9191 PINECROFT DR
Mailing Address - Street 2:STE 100
Mailing Address - City:SHENANDOAH
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2797
Mailing Address - Country:US
Mailing Address - Phone:281-909-7722
Mailing Address - Fax:281-909-7733
Practice Address - Street 1:22999 HIGHWAY 59 N
Practice Address - Street 2:STE 294
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-4412
Practice Address - Country:US
Practice Address - Phone:281-348-8972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX2018213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery