Individual
PHILLIP S GE
Active
Individual
PHILLIP S GE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A122483
CA
207RG0100X
Gastroenterology Physician
A122483
CA
207RG0100X
Gastroenterology Physician
Primary
R8354
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391513401
—
TX
05
—
391513402
—
TX
01
—
8JZ632
BCBS
TX
Enumeration date
03/29/2011
Last updated
01/31/2019
Update your record
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