Provider Demographics
NPI:1699712125
Name:PHIPPS, LOWELL FRANKLIN (MD)
Entity type:Individual
Prefix:
First Name:LOWELL
Middle Name:FRANKLIN
Last Name:PHIPPS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 HIGHLAND VILLAGE RD STE 130
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7189
Mailing Address - Country:US
Mailing Address - Phone:972-317-1400
Mailing Address - Fax:972-317-1477
Practice Address - Street 1:2280 HIGHLAND VILLAGE RD STE 130
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-7189
Practice Address - Country:US
Practice Address - Phone:972-317-1400
Practice Address - Fax:972-317-1477
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ6663207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136502512Medicaid
TX136502514Medicaid
TX136502503Medicaid
TX136502512Medicaid
TX8505J1Medicare PIN
TX136502512Medicaid