Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK C. TIPS, PH.D., C.C.N.
Active Sole ProprietorNutrition, Education · AUSTIN, TX
Registration Details
- NPI Number
- 1104948041
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 4, 2007 (19.087878252931 yrs)
- Last Updated
- Oct 16, 2015
- Licenses
-
0017161 (NY)0017161 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9419 WESTMINSTER GLENAUSTIN, TX, 78730Browse TX providers · Browse ZIP 78730
- Phone
- 5123283996
- Fax
- 5122637787
- Primary Specialty
-
Nutrition, Education
133NN1002X
- Additional Specialty
- 136A00000X
Other Nutrition, Education Providers in AUSTIN, TX
| Name | Credential | NPI |
|---|---|---|
| CARLY POLLACK | CCN, MS | 1205238318 |
| DR. LINDA MARIE DIBELLA | PHD, CHHC | 1518412535 |
| ANGELA MARIE NASH | MSNFM | 1710643903 |
| KIMBERLEY A DEL CASTILLO | FDN-PRACTIONER, HHP | 1740946490 |
| MRS. JUDY M. CHO | BCHN, FNTP | 1558089573 |
| NATASHA SCOTT | FNP | 1437903960 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.