E I Phillips-young Pllc | |
1711 E Central Texas Expy Ste 301 Killeen TX 76541-9147 | |
(254) 599-8181 | |
(254) 213-4200 |
Full Name | E I Phillips-young Pllc |
---|---|
Speciality | Clinic/Center |
Location | 1711 E Central Texas Expy Ste 301, Killeen, Texas |
Authorized Official Name and Position | Shonda Lavon Phillips-young (PROVIDER/OWNER) |
Authorized Official Contact | 2545998181 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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E I Phillips-young Pllc 1711 E Central Texas Expy Ste 301 Killeen TX 76541-9147 Ph: (254) 599-8181 | E I Phillips-young Pllc 1711 E Central Texas Expy Ste 301 Killeen TX 76541-9147 Ph: (254) 599-8181 |
NPI Number | 1932816014 |
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Provider Enumeration Date | 10/31/2022 |
Last Update Date | 02/18/2025 |
Certification Date | 02/18/2025 |
Medicare PECOS PAC ID | 7214307610 |
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Medicare Enrollment ID | O20221229001443 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932816014 | NPI | - | NPPES |
Provider Name | Shonda Phillips-young |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225607310 PECOS PAC ID: 5294138319 Enrollment ID: I20210728000124 |
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