Individual
SYLVESTER D PHIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
E8109
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F2883
MEDICAID NEWMEXICO
TX
01
—
100819
SUPERIOR SSI
TX
05
—
131754702
—
TX
01
—
201012760
MEDICAID PRESBYTERIAN
TX
01
—
300107925
MEDICARE RR
TX
01
—
742939272
TAX ID
TX
01
—
85611Y
BCBS
TX
01
—
89013
AMERIGROUP
TX
01
—
CH05820081
EL PASO FIRST CHIPS
TX
01
—
GH05820081
EL PASO FIRST GROUP
TX
01
—
MDE8109TX
WORKERS COMP
TX
Enumeration date
02/25/2006
Last updated
04/13/2016
Update your record
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