Healthcare Provider Details

I. General information

NPI: 1215256235
Provider Name (Legal Business Name): HELEN D GIPSON DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2010
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7220 S WESTMORELAND RD APT 108A
DALLAS TX
75237-2984
US

IV. Provider business mailing address

5787 S HAMPTON RD STE 350
DALLAS TX
75232-6333
US

V. Phone/Fax

Practice location:
  • Phone: 214-331-3700
  • Fax: 214-331-3737
Mailing address:
  • Phone: 214-331-3700
  • Fax: 214-331-3737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number964
License Number StateTX

VIII. Authorized Official

Name: DR. HELEN GIPSON
Title or Position: PRESIDENT
Credential: DPM
Phone: 214-331-3700