Individual
JOSEPH THEODORE PHILLIPS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6301 GASTON AVE, SUITE 100 WEST TOWER, DALLAS, TX 75214-3922
(214) 827-3610
(214) 443-9640
Mailing address
6301 GASTON AVE, SUITE 100 WEST TOWER, DALLAS, TX 75214-3922
(214) 827-3610
(214) 443-9640
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
F9951
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123466802
—
TX
Enumeration date
02/23/2006
Last updated
09/08/2010
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