Philips Internal Medicine, Pllc | |
724 Pennsylvania Ave Fort Worth TX 76104-2221 | |
(817) 336-1200 | |
(817) 338-4707 |
Full Name | Philips Internal Medicine, Pllc |
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Speciality | Internal Medicine |
Location | 724 Pennsylvania Ave, Fort Worth, Texas |
Authorized Official Name and Position | Gregory Joseph Phillips (PRESIDENT) |
Authorized Official Contact | 8173361200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Philips Internal Medicine, Pllc 724 Pennsylvania Ave Fort Worth TX 76104-2221 Ph: (817) 336-1200 | Philips Internal Medicine, Pllc 724 Pennsylvania Ave Fort Worth TX 76104-2221 Ph: (817) 336-1200 |
NPI Number | 1720414881 |
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Provider Enumeration Date | 09/20/2013 |
Last Update Date | 04/16/2014 |
Identifier | Type | State | Issuer |
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1720414881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | F5328 (Texas) | Primary |
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