Organization
PHILLIP W. KELLY, MD, PA
Active
Other names
North Texas Ophthalmology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP W. KELLY MD (PRESIDENT)
(940) 723-1274
Entity
Organization
Contact information
Practice address
1704 11TH ST, WICHITA FALLS, TX 76301-5020
(940) 723-1274
(940) 723-1525
Mailing address
PO BOX 8169, WICHITA FALLS, TX 76307-8169
(940) 723-1274
(940) 723-1525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
02/07/2008
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