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Individual
SETH M SHIPPY
Active
Individual
SETH M SHIPPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA03651
TX
363AS0400X
Surgical Physician Assistant
PA03651
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202881301
—
TX
05
—
202881302
—
TX
01
—
8702NC
BLUE CROSS BLUE SHIELD
TX
01
—
8N3356
BCBS
TX
01
—
P01298127
RR MEDICARE
TX
Enumeration date
07/28/2005
Last updated
11/06/2024
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