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Individual
KYLE CHRISTOPHER PHILLIPS
Active
Individual
KYLE CHRISTOPHER PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA02620
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y3197
BC/BS
TX
Enumeration date
03/24/2006
Last updated
09/15/2008
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