Individual
VALERY N LIPENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1604 HOSPITAL PKWY STE 200, BEDFORD, TX 76022-6930
(817) 848-4485
(817) 848-4490
Mailing address
1604 HOSPITAL PKWY STE 200, BEDFORD, TX 76022-6930
(817) 848-4485
(817) 848-4490
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
L6498
TX
2084N0400X
Neurology Physician
ME0086696
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266642100
—
FL
01
—
P00020776
RAILROAD MEDICARE
—
01
—
P00734707
RAILROAD MEDICARE
—
05
—
TPI195912402
—
TX
Enumeration date
07/27/2005
Last updated
08/19/2022
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