| Coppell Clinic, P.a. | |
|
171 N Denton Tap Rd Suite 200 Coppell TX 75019-2915 | |
| (972) 745-4446 | |
| (972) 745-2597 |
| Full Name | Coppell Clinic, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 171 N Denton Tap Rd, Coppell, Texas |
| Authorized Official Name and Position | Russell Wayne Phillips (PHYSICIAN) |
| Authorized Official Contact | 9727454446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coppell Clinic, P.a. 171 N Denton Tap Rd Suite 200 Coppell TX 75019-2915 Ph: (972) 745-4446 | Coppell Clinic, P.a. 171 N Denton Tap Rd Suite 200 Coppell TX 75019-2915 Ph: (972) 745-4446 |
| NPI Number | 1346576949 |
|---|---|
| Provider Enumeration Date | 11/02/2009 |
| Last Update Date | 11/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346576949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J0197 (Texas) | Primary |
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