Individual
ADAM PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(214) 456-7000
Mailing address
2600 LAKEFRONT TRL APT 4067, ROCKWALL, TX 75032-5573
(469) 338-1159
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
1111271
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
1111271
TX
Other
Enumeration date
02/22/2023
Last updated
05/23/2023
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