Individual
CAITLYN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 S TEMPLE DR, DIBOLL, TX 75941-2422
(936) 899-4979
Mailing address
1155 DAIRY ASHFORD RD, HOUSTON, TX 77079-3021
(713) 799-2200
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
352316
TX
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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