Individual
DEMETRICE PHILLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
827 MARIGOLD RD, BAYTOWN, TX 77521-7002
(281) 865-8385
Mailing address
PO BOX 7016, BAYTOWN, TX 77522-7016
(281) 865-8385
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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