Individual
DR. CANDACE E LIPSHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5311 W 9TH AVE, AMARILLO, TX 79106-4161
(806) 359-3937
(806) 359-8124
Mailing address
5311 W 9TH AVE, AMARILLO, TX 79106-4161
(806) 359-3937
(806) 359-8124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3717TG
TX
152WC0802X
Corneal and Contact Management Optometrist
3717TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0192254
—
TX
01
—
20117426
TEXAS DPS
TX
01
—
3717TG
OPTOMETRIC LICENSE NUMBER
TX
01
—
410022972
TEXAS RAILROAD MEDICARE
TX
Enumeration date
01/03/2006
Last updated
05/31/2008
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