Provider Demographics
NPI:1386985125
Name:HELENA H. LIPTAKOVA, MD., PLLC
Entity type:Organization
Organization Name:HELENA H. LIPTAKOVA, MD., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HELENA
Authorized Official - Middle Name:H
Authorized Official - Last Name:LIPTAKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-751-5245
Mailing Address - Street 1:7430 REMCON CIR
Mailing Address - Street 2:BLDG B -110
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-3514
Mailing Address - Country:US
Mailing Address - Phone:915-544-2455
Mailing Address - Fax:915-544-3149
Practice Address - Street 1:9870 GATEWAY BLVD N
Practice Address - Street 2:SUITE B - 7
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-4425
Practice Address - Country:US
Practice Address - Phone:915-751-5245
Practice Address - Fax:915-751-5255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-04
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0894208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty