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NPI Code Detail

MEDICARE: DR. MATTHEW DANIEL LIPPAS M.D.

MEDICARE: DR. MATTHEW DANIEL LIPPAS M.D.
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
1207W00000XOphthalmology PhysicianG6740TX

General Provider Information

NPI Number : 1790770717
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW DANIEL LIPPAS M.D.
Provider Business Mailing Address
First Line : 8144 WALNUT HILL LN
Second Line : SUITE 448
City : DALLAS
State : TX
Zip : 75231-4388
Country : US
Telephone Number : 214-369-3433
Fax Number : 214-369-0636
Provider Business Practice Location Address
First Line : 8144 WALNUT HILL LN
Second Line : SUITE 448
City : DALLAS
State : TX
Zip : 75231-4388
Country : US
Telephone Number : 214-369-3433
Fax Number : 214-369-0636
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2005
Last Update Date : 07/08/2007

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