Provider Demographics
NPI:1336300417
Name:HELEN D. GIPSON, DPM PC
Entity Type:Organization
Organization Name:HELEN D. GIPSON, DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIPSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:214-331-3700
Mailing Address - Street 1:217A E CAMP WISDOM RD # 296
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-2703
Mailing Address - Country:US
Mailing Address - Phone:214-331-3700
Mailing Address - Fax:
Practice Address - Street 1:217A E CAMP WISDOM RD # 296
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-2703
Practice Address - Country:US
Practice Address - Phone:214-331-3700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX964213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty