Provider Demographics
NPI:1215256235
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 1:5787 S HAMPTON RD STE 350
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-6333
Mailing Address - Country:US
Mailing Address - Phone:214-331-3700
Mailing Address - Fax:214-331-3737
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:214-331-3737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-01
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX964213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092807901Medicaid