Individual
JUSTIN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC.
Contact information
Practice address
911 W 38TH ST, 200T, AUSTIN, TX 78705-1188
(512) 344-6223
Mailing address
11266 TAYLOR DRAPER LN, 1422, AUSTIN, TX 78759-2466
(512) 673-0617
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC01134
TX
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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