Individual
PHILIP WAYNE GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 HEMPHILL ST, FORT WORTH, TX 76104-3107
(817) 335-6155
Mailing address
800 HEMPHILL ST, FORT WORTH, TX 76104-3107
(817) 335-6155
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D9454
TX
Other
Enumeration date
05/17/2006
Last updated
08/20/2007
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