Individual
ERIN LEA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
910 E HOUSTON ST, STE 330, TYLER, TX 75702-8369
(903) 510-8848
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD0000040858
TN
2084N0400X
Neurology Physician
Primary
M8252
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
752616977095
TRICARE
TX
Enumeration date
05/11/2006
Last updated
06/17/2015
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