| Scott B Phillips Pllc | |
|
1912 Loop 11 Wichita Falls TX 76306-4921 | |
| (940) 263-1551 | |
| (833) 620-2407 |
| Full Name | Scott B Phillips Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1912 Loop 11, Wichita Falls, Texas |
| Authorized Official Name and Position | Scott B Phillips (PRESIDENT) |
| Authorized Official Contact | 9402631551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott B Phillips Pllc 1912 Loop 11 Wichita Falls TX 76306-4921 Ph: (940) 263-1551 | Scott B Phillips Pllc 1912 Loop 11 Wichita Falls TX 76306-4921 Ph: (940) 263-1551 |
| NPI Number | 1669983201 |
|---|---|
| Provider Enumeration Date | 10/23/2017 |
| Last Update Date | 12/02/2023 |
| Medicare PECOS PAC ID | 3971860016 |
|---|---|
| Medicare Enrollment ID | O20171128003009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669983201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Scott B Phillips |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1104035781 PECOS PAC ID: 0345548640 Enrollment ID: I20171128003087 |
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