Provider Demographics
NPI:1245357086
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:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GIPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-331-3700
Mailing Address - Street 1:5787 S HAMPTON RD # 230B
Mailing Address - Street 2:STE 302
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-2255
Mailing Address - Country:US
Mailing Address - Phone:214-331-3700
Mailing Address - Fax:
Practice Address - Street 1:7220 S WESTMORELAND RD APT 108A
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-2984
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:2007-03-26
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4530790001Medicare NSC