Individual
MRS. PENNY LEIGH PHILLIPS-DEINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5826 ESPLANADE DR, SUITE 101, CORPUS CHRISTI, TX 78414-4173
(361) 992-4400
(361) 992-4405
Mailing address
PO BOX 6636, CORPUS CHRISTI, TX 78466-6636
(361) 992-4400
(361) 992-4405
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1719
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176857401
—
TX
Enumeration date
10/02/2006
Last updated
07/09/2010
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