Individual
GEORGE W. TIPTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 W 38TH ST STE 102, AUSTIN, TX 78705-1010
(512) 454-4561
(512) 406-7330
Mailing address
6210 E HIGHWAY 290, AUSTIN, TX 78723-1142
(512) 483-9596
(512) 406-6216
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
E8968
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131977407
—
TX
05
—
131977408
—
TX
01
—
8CV477
BCBS
TX
Enumeration date
08/19/2006
Last updated
06/04/2021
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