Individual
DR. CHARLES STUART PIPKIN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12602 TOEPPERWEIN RD STE 212, LIVE OAK, TX 78233-3271
(210) 614-6432
(210) 293-3908
Mailing address
9150 HUEBNER RD STE 290, SAN ANTONIO, TX 78240-1598
(210) 614-6432
(210) 293-3908
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G5485
TX
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G5485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780683144
—
TX
Enumeration date
07/19/2005
Last updated
11/05/2025
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