| Walter Lee Tippin,dds, P.c | |
|
3021 Trawood Dr Suite 1b El Paso TX 79936-4330 | |
| (915) 855-4200 | |
| (915) 855-4633 |
| Full Name | Walter Lee Tippin,dds, P.c |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3021 Trawood Dr, El Paso, Texas |
| Authorized Official Name and Position | Walter Lee Tippin (GENERAL DENTIST) |
| Authorized Official Contact | 9152554200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter Lee Tippin,dds, P.c 3021 Trawood Dr Suite 1b El Paso TX 79936-4330 Ph: (915) 855-4200 | Walter Lee Tippin,dds, P.c 3021 Trawood Dr Suite 1b El Paso TX 79936-4330 Ph: (915) 855-4200 |
| NPI Number | 1215180534 |
|---|---|
| Provider Enumeration Date | 10/30/2008 |
| Last Update Date | 10/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215180534 | NPI | - | NPPES |
| 091037401 | Medicaid | TX | |
| B1341201 | Other | CA | DELTA DENTAL |
| 600826 | Other | PA | UNITED CONCORDIA TRICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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