# DR. PAUL M PHILLIPS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1134381965
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | MD2016-0477 | NM | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | R5453 | TX | Yes |

## Other

- **Enumeration date:** 07/02/2008
- **Last updated:** 10/14/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 403039701 | — | TX |
