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Organization
PHILLIP W. JANSEN
Active
Organization
PHILLIP W. JANSEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP WAYNE JANSEN DO (PRESIDENT)
(803) 847-2175
Entity
Organization
Contact information
Practice address
540 W 15TH ST, HEREFORD, TX 79045-2820
(803) 364-7512
Mailing address
113 N TEXAS ST, HEREFORD, TX 79045-4225
(803) 847-2175
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/29/2025
Last updated
05/06/2026
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