Provider Demographics
NPI:1235947730
Name:PHIPPS, SUMMER (DC)
Entity type:Individual
Prefix:DR
First Name:SUMMER
Middle Name:
Last Name:PHIPPS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 SUNDANCE PKWY STE 505
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-7927
Mailing Address - Country:US
Mailing Address - Phone:512-985-2225
Mailing Address - Fax:737-383-2006
Practice Address - Street 1:115 SUNDANCE PKWY STE 505
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-7927
Practice Address - Country:US
Practice Address - Phone:512-985-2225
Practice Address - Fax:737-383-2006
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16261111NP0017X, 111NN1001X, 111NR0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NP0017XChiropractic ProvidersChiropractorPediatric Chiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NR0400XChiropractic ProvidersChiropractorRehabilitation