| Gregory Phillips | |
|
724 Pennsylvania Ave Fort Worth TX 76104-2221 | |
| (817) 336-1200 | |
| (817) 338-4707 |
| Full Name | Gregory Phillips |
|---|---|
| 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 |
|---|---|
| Gregory Phillips 724 Pennsylvania Ave Fort Worth TX 76104-2221 Ph: (817) 336-1200 | Gregory Phillips 724 Pennsylvania Ave Fort Worth TX 76104-2221 Ph: (817) 336-1200 |
| NPI Number | 1720414881 |
|---|---|
| Provider Enumeration Date | 09/20/2013 |
| Last Update Date | 04/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720414881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | F5328 (Texas) | Primary |
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