Individual
DR. PHILLIP DEAN ARMITAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DHA, LSA, OPAC, CSA
Contact information
Practice address
418 LAKEVIEW CIR, SEALY, TX 77474-9240
(281) 352-9351
Mailing address
418 LAKE VIEW CIRCLE, SEALY, TX 77474
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
SA00382
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080709
NATIONAL ASSOCIATION OF ATHLETIC TRAINERS
TX
01
—
3578
CERTIFIED SURGICAL ASSISTANT
TX
01
—
754
OPA-C
TX
01
—
AT1978
ATHLETIC TRAINER
TX
01
—
SA00382
LICENSE SURGICAL ASSISTANT
TX
Enumeration date
08/30/2006
Last updated
07/21/2017
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