Provider Demographics
NPI:1194529818
Name:DR GARY R LIPKIN PC INC
Entity type:Organization
Organization Name:DR GARY R LIPKIN PC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:R
Authorized Official - Last Name:LIPKIN
Authorized Official - Suffix:
Authorized Official - Credentials:BS DC
Authorized Official - Phone:903-234-2225
Mailing Address - Street 1:300 E LOOP 281
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-7912
Mailing Address - Country:US
Mailing Address - Phone:903-234-2225
Mailing Address - Fax:903-234-1911
Practice Address - Street 1:300 E LOOP 281
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-7912
Practice Address - Country:US
Practice Address - Phone:903-234-2225
Practice Address - Fax:903-234-1911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty