NPI 1104948041
Jack C. Tips, PHDCCN
Practice location
- Address
- 9419 Westminster Glen, Austin, TX 78730
- Phone
- (512) 328-3996
- Fax
- (512) 263-7787
- Mailing address
- 9419 Prince William, Austin, TX 78730
Registered specialties (2)
Nutrition Education Nutritionist
Primary
Registered Dietetic Technician
Registry record
- NPI
- 1104948041
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 4 Apr 2007
- Record last updated
- 16 Oct 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.