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Individual
DR. KATHLEEN PHILLIPP
Active
Individual
DR. KATHLEEN PHILLIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G2615
TX
251K00000X
Public Health or Welfare Agency
G2615
TX
261QP0905X
State or Local Public Health Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096494201
—
TX
Enumeration date
09/06/2006
Last updated
11/01/2024
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