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NPI Code Detail

MEDICARE: SEAN THOMAS TIPTON D.C.

MEDICARE:   SEAN THOMAS TIPTON  D.C.
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
1111N00000XChiropractor14181TX

General Provider Information

NPI Number : 1902450240
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEAN THOMAS TIPTON D.C.
Provider Business Mailing Address
First Line : 9201 SWEETGUM DR
Second Line :
City : AUSTIN
State : TX
Zip : 78748-2251
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8106 BRODIE LN STE 107
Second Line :
City : AUSTIN
State : TX
Zip : 78745-7468
Country : US
Telephone Number : 512-442-7999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2019
Last Update Date : 08/23/2021

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Directions to “ SEAN THOMAS TIPTON D.C.” Practice Location

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