# RANDALL R PHILLIPS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1295763183
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | H6916 | TX | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 01/27/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 114589804 | — | TX |
| 01 | — | 240004825 | RAILROAD MEDICARE PIN | TX |
| 01 | — | 846875 | BCBS | TX |