Provider Demographics
NPI:1982437737
Name:PIPKINS, SHERMANIE M
Entity type:Individual
Prefix:
First Name:SHERMANIE
Middle Name:M
Last Name:PIPKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 E AVENUE G STE 10230
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76541-6152
Mailing Address - Country:US
Mailing Address - Phone:254-436-7359
Mailing Address - Fax:254-436-7361
Practice Address - Street 1:5902 LA ROEA DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-6860
Practice Address - Country:US
Practice Address - Phone:512-967-2761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier