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Individual

JOSEPH ALLEN LIPSCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5012 S US HIGHWAY 75 STE 110, DENISON, TX 75020-4596
(903) 416-6200
(903) 416-6201
Mailing address
5012 S US HIGHWAY 75 STE 300, ATTN BILLING, DENISON, TX 75020-4589
(903) 416-6200

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M1206
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
174127401
TX
05
200065760A
OK
Enumeration date
09/14/2006
Last updated
04/10/2019
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