SHANE TIPTON

DALLAS, TX
NPI1114321775
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  675434)
Enumeration Date2014-10-10
Last Update Date2022-07-21
Business Address
-- SHANE TIPTON NP
6363 FOREST PARK ROAD 7TH FLOOR STE 749
DALLAS, TX 75390-4426
Phone number: 214-645-8500
Mailing Address
-- SHANE TIPTON NP
PO BOX 845347
DALLAS, TX 75284-5347
Phone number: 214-645-0624
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