Individual
DR. MARK B KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 W RANDOL MILL RD, ARLINGTON, TX 76012-2504
(817) 548-6202
Mailing address
5500 SYCAMORE SCHOOL RD STE 150, FORT WORTH, TX 76123-3053
(682) 707-9707
(682) 707-9708
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L1910
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147460302
—
TX
05
—
147460303
—
TX
01
—
8B7646
BCBS THRU AEMA
TX
01
—
8BT323
BCBS THRU SAEMA
TX
01
—
P00148167
RAILROAD THRU AEMA
TX
01
—
P00869641
RRMCARE THRU SAEMA
TX
Enumeration date
03/16/2006
Last updated
10/08/2025
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