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Individual

MS. TERRA R PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1120 MEDICAL PLAZA DR, SUITE 150, SHENANDOAH, TX 77380-3242
(713) 897-5900
(713) 897-2202
Mailing address
6400 FANNIN ST STE 2070, HOUSTON, TX 77030-1541
(713) 704-6731
(713) 704-6889

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA05101
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
153449704
TX
05
153449706
TX
Enumeration date
11/12/2007
Last updated
02/01/2016
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