Individual
MRS. REGINA D PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.A.
Contact information
Practice address
919 E 32ND ST, AUSTIN, TX 78705-2703
(512) 476-7111
Mailing address
PO BOX 504407, SAINT LOUIS, MO 63150-4407
(816) 502-7000
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1739
TX
367H00000X
Anesthesiologist Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014016888
MO LICENSE
MO
Enumeration date
06/03/2014
Last updated
10/13/2022
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