MEDICARE: STEPHANIE MEGAN TIPTON DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	565832	TX

General Provider Information

NPI Number	:	1518224898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE MEGAN TIPTON DO

Provider Business Mailing Address
First Line	:	6507 S COOPER ST STE 105
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-5818
Country	:	US
Telephone Number	:	817-466-9100
Fax Number	:	817-466-9410

Provider Business Practice Location Address
First Line	:	6507 S COOPER ST STE 105
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76001-5818
Country	:	US
Telephone Number	:	817-466-9100
Fax Number	:	817-466-9410

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2012
Last Update Date	:	03/23/2022

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Directions to “ STEPHANIE MEGAN TIPTON DO” Practice Location

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