Terra R Phillips in Shenandoah - Medical

Terra R Phillips - NPI 1154501757

Terra R Phillips is a Medical in Shenandoah, Texas. Terra R Phillips practices all healthcare services and medical treatments related to Medical. The NPI Number for Terra R Phillips is 1154501757. The last update date is 2016-02-01.

Terra R Phillips's current location address is 1120 Medical Plaza Dr, Shenandoah, Texas. You can contact this provider via phone number 7138975900 and fax number 7138972202. The mailing address for Terra R Phillips is 1120 Medical Plaza Dr, Shenandoah, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Terra R Phillips
Address 1120 Medical Plaza Dr, Shenandoah, Texas
Phone Number 7138975900
Fax Number 7138972202
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1154501757
Provider Enumeration Date 2007-11-12
Last Updated Date 2016-02-01

Provider Mailing Address Detail

Address 1120 Medical Plaza Dr
City Shenandoah
State Texas (TX)
Post Code 773803242
Phone Number 7138975900
Fax Number 7138972202

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No PA05101
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
153449704 TX --
153449706 TX --

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FAQs about Terra R Phillips

What is the Terra R Phillips's unique identification number?

The Terra R Phillips has been assigned the NPI (National Provider Identifier) Number 1154501757 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Terra R Phillips's facilities are situated?

The facilities of Terra R Phillips are physically located at the following address: 1120 Medical Plaza Dr, Shenandoah, TX, 773803242.

What is Terra R Phillips's area of expertise and its corresponding taxonomy classification?

The Terra R Phillips's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.

On what date did Terra R Phillips receive its 1154501757 assignment from the Centers for Medicare & Medicaid Services?

The Terra R Phillips was assigned its 1154501757 on 2007-11-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Terra R Phillips most recently updated or refreshed?

The details pertaining to the Terra R Phillips, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-02-01.

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