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Organization
WALLACE L PHILLIPS
Active
Organization
WALLACE L PHILLIPS
Active
Other names
Phillips Eye Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE L PHILLIPS O.D. (OWNER)
(432) 586-3435
Entity
Organization
Contact information
Practice address
103 S EAST AVE, KERMIT, TX 79745-3606
(432) 586-3435
(432) 586-6737
Mailing address
103 S EAST AVE, KERMIT, TX 79745-3606
(432) 586-3435
(432) 586-6737
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2869TG
TX
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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