Individual
CHARLES W PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4311 W WADLEY AVE, MIDLAND, TX 79707-5457
(432) 689-0323
(432) 689-2916
Mailing address
4311 W WADLEY AVE, MIDLAND, TX 79707-5457
(432) 689-0323
(432) 689-2916
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2745TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019790701
—
TX
Enumeration date
07/20/2006
Last updated
07/30/2008
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