Dallas W Lipscomb, PA-C
Dallas W Lipscomb, PA-C is a Physician Assistant in Elephant Butte, New Mexico. Qualified in 2012, 14 years ago. Accepts Medicare assignment. Licensed in Illinois and New Mexico.
- Years since qualifying
- 14
- Licensed in
- IL, NM
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
600 Nm Hwy 195 Ste AElephant Butte, NM 87935-0449
Phone: (575) 744-4872
Fax: (575) 548-7290
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA2013-0027 (NM) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X (IL) |
Record details
| NPI number | 1194724708 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 15, 2005 |
| Last updated in NPPES | September 23, 2020 |
| Certification date | September 23, 2020 |
| Mailing address | Po Box 449, Elephant Butte, NM 87935-0449 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |