# 180 HEALTH CLINIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841069309
- **Authorized official:** MS. APRIL LA SHONDA PHILLIPS APRN-C, AGPCNP-C (OWNER/NP)
- **Authorized official phone:** (919) 623-0408

## Contact information

- **Practice address:** 1801 EASTCHASE PKWY STE 123, FORT WORTH, TX 76120-4425
- **Practice address phone:** (682) 622-8990
- **Mailing address:** PO BOX 200172, ARLINGTON, TX 76006-0172
- **Mailing address phone:** (919) 623-0408

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | NULL | — |
| 363LG0600X | Gerontology Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/26/2023
- **Last updated:** 12/26/2023