Jack C. Tips in Austin - Dietetic Technician, Registered
Jack C. Tips - NPI 1104948041
Jack C. Tips is a Dietetic Technician, Registered in Austin, Texas. Jack C. Tips practices all healthcare services and medical treatments related to Dietetic Technician, Registered. The NPI Number for Jack C. Tips is 1104948041. The last update date is 2015-10-16.
Jack C. Tips's current location address is 9419 Prince William, Austin, Texas. You can contact this provider via phone number 5123283996 and fax number 5122637787. The mailing address for Jack C. Tips is 9419 Prince William, Austin, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack C. Tips |
|---|---|
| Address | 9419 Prince William, Austin, Texas |
| Phone Number | 5123283996 |
| Fax Number | 5122637787 |
| Sole Proprietor | Y |
| Credentials | PH.D., C.C |
NPI Number Detail
| NPI Number | 1104948041 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2015-10-16 |
Provider Mailing Address Detail
| Address | 9419 Prince William |
|---|---|
| City | Austin |
| State | Texas (TX) |
| Post Code | 78730 |
| Phone Number | 5123283996 |
| Fax Number | 5122637787 |
Provider's Primary Taxonomy Detail
| Speciality | Dietetic Technician, Registered |
|---|---|
| Taxonomy | 136A00000X |
| Licence No | 17161 |
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Definition: A Dietetic Technician, Registered (DTR)/Nutrition and Dietetics Technician, Registered (NDTR) is an individual holding a nationally protected title issued by the Commission on Dietetic Registration (CDR) to qualified individuals who obtain an associa |
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What is the unique 10-digit identification code assigned to Jack C. Tips by the Centers for Medicare & Medicaid Services?
The Jack C. Tips has been issued the NPI (National Provider Identifier) 1104948041, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jack C. Tips is located?
The Jack C. Tips is situated at the following address: 9419 Prince William, Austin, TX, 78730.
What is the area of specialization for Jack C. Tips, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jack C. Tips is Dietetic Technician, Registered, and the corresponding taxonomy code that categorizes this area of expertise is 136A00000X.
On what date did the Jack C. Tips receive the assignment of its 1104948041 from the Centers for Medicare & Medicaid Services?
The Jack C. Tips was issued its 1104948041 by the Centers for Medicare & Medicaid Services on 2007-04-04.
When was the Jack C. Tips's information last updated?
The Jack C. Tips's information was last updated on 2015-10-16.