Individual
DANIEL JOHN LIPTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, PMHNP
Contact information
Practice address
4005 BANISTER LN STE 200C, AUSTIN, TX 78704-8077
(512) 328-7222
Mailing address
4005 BANISTER LN STE 200C, AUSTIN, TX 78704-8077
(512) 328-7222
(512) 367-5668
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1026494
TX
163W00000X
Registered Nurse
465421
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1026494
TX
Other
Enumeration date
02/13/2020
Last updated
10/13/2021
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