Individual provider · Type 1 NPI

Jack C. Tips, PhD, C.C.N.

Nutrition Education Nutritionist · Austin, TX

NPI number 1104948041 Active

Practice location

9419 Westminster Glen
Austin, TX 78730

Call (512) 328-3996 Map

Fax (512) 263-7787

Mailing address

9419 Prince William
Austin, TX 78730

Specialties and licenses

TaxonomyCodeLicense
Nutrition Education Nutritionist Primary 133NN1002X0017161 (NY)
Registered Dietetic Technician 136A00000X0017161 (NY)

Nutrition Education Nutritionist: Definition to come...

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About NPI 1104948041

Jack C. Tips, PhD, C.C.N.'s National Provider Identifier is 1104948041, issued on Apr 4, 2007. The primary taxonomy on file is Nutrition Education Nutritionist (133NN1002X), and the practice location is in Austin, TX. The record was last updated on Oct 16, 2015.