Individual
DR. PHILLIP ISAAC VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
(512) 324-9999
(512) 517-9064
Mailing address
4900 MUELLER BLVD, AUSTIN, TX 78723-3051
(512) 324-9999
(512) 517-9064
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4351050224
MI
2084P0800X
Psychiatry Physician
Primary
V7093
TX
Other
Enumeration date
04/06/2022
Last updated
06/30/2025
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