Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DALLAS W LIPSCOMB, PA-C
ActiveDALLAS W LIPSCOMB, PA-C is a Physician Assistant healthcare provider located in ELEPHANT BUTTE, New Mexico. NPI 1194724708 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ELEPHANT BUTTE, NM
Registration Details
- NPI Number
- 1194724708
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 15, 2005 (21.096226519066 yrs)
- Last Updated
- Sep 23, 2020
- License
-
PA2013-0027 (NM)
Practice Information
- Address
-
600 NM HWY 195STE AELEPHANT BUTTE, NM, 879350449Browse NM providers · Browse ZIP 87935
- Phone
- 5757444872
- Fax
- 5755487290
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
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.