Provider Demographics
NPI:1578777538
Name:HASE-LIPTON, VIVIAN RUTH (MD)
Entity type:Individual
Prefix:
First Name:VIVIAN
Middle Name:RUTH
Last Name:HASE-LIPTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:VIVIAN
Other - Middle Name:RUTH
Other - Last Name:GILES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1352 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:SEGUIN
Mailing Address - State:TX
Mailing Address - Zip Code:78155-5126
Mailing Address - Country:US
Mailing Address - Phone:830-475-4321
Mailing Address - Fax:830-521-4185
Practice Address - Street 1:1352 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:SEGUIN
Practice Address - State:TX
Practice Address - Zip Code:78155-5126
Practice Address - Country:US
Practice Address - Phone:830-475-4321
Practice Address - Fax:830-521-4185
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-15623207Q00000X
TXR4977207Q00000X
UT6120783-3400175M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No175M00000XOther Service ProvidersMidwife, Lay