Mrs Regina D Phillips, AA | |
919 E 32nd St, Austin, TX 78705-2703 | |
(512) 476-7111 | |
Not Available |
Full Name | Mrs Regina D Phillips |
---|---|
Gender | Female |
Speciality | Anesthesiology Assistant |
Experience | 10 Years |
Location | 919 E 32nd St, Austin, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275946618 | NPI | - | NPPES |
2014016888 | Other | MO | MO LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Secondary |
367H00000X | Anesthesiologist Assistant | 1739 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Austin Medical Center | Austin, TX | Hospital |
Round Rock Medical Center | Round rock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Austin Anesthesiology Group Pllc | 0547256497 | 371 |
Entity Name | Austin Anesthesiology Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598724304 PECOS PAC ID: 0547256497 Enrollment ID: O20040424000086 |
Mailing Address | Practice Location Address |
---|---|
Mrs Regina D Phillips, AA Po Box 504407, Saint Louis, MO 63150-4407 Ph: (816) 502-7000 | Mrs Regina D Phillips, AA 919 E 32nd St, Austin, TX 78705-2703 Ph: (512) 476-7111 |
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