| Phillips Family Medical, Pllc | |
|
402 W Wheatland Rd Suite 170-c Duncanville TX 75116-4600 | |
| (214) 507-1684 | |
| Not Available |
| Full Name | Phillips Family Medical, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 402 W Wheatland Rd, Duncanville, Texas |
| Authorized Official Name and Position | Ben Phillips (PRACTICE MANAGER) |
| Authorized Official Contact | 2145071684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phillips Family Medical, Pllc 402 W Wheatland Rd Suite 170-c Duncanville TX 75116-4600 Ph: (214) 507-1684 | Phillips Family Medical, Pllc 402 W Wheatland Rd Suite 170-c Duncanville TX 75116-4600 Ph: (214) 507-1684 |
| NPI Number | 1346664919 |
|---|---|
| Provider Enumeration Date | 02/18/2014 |
| Last Update Date | 02/18/2014 |
| Medicare PECOS PAC ID | 1355568494 |
|---|---|
| Medicare Enrollment ID | O20140813000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346664919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | James Race |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942268586 PECOS PAC ID: 8325943798 Enrollment ID: I20041022000181 |
| Provider Name | Mary N Mcneill |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386676161 PECOS PAC ID: 5092768747 Enrollment ID: I20050223000193 |
| Provider Name | Pamela K Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821247594 PECOS PAC ID: 9739362864 Enrollment ID: I20110325000751 |
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