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Organization
PHILLIPS SPECIALTY SERVICES
Active
Organization
PHILLIPS SPECIALTY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY T GENTILE (AUTHORIZED OFFICIAL)
(860) 257-7080
Entity
Organization
Contact information
Practice address
117 FM 247 RD, HUNTSVILLE, TX 77320-8777
(936) 435-1556
(936) 435-1556
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 257-7080
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1000159
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199962501
—
TX
Enumeration date
07/02/2008
Last updated
03/28/2011
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