Organization
RONALD PHILLEAUX M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALDL WREYBURN PHILLEAUX M.D. (MEDICAL DOCTOR/OWNER)
(214) 357-9481
Entity
Organization
Contact information
Practice address
10246 MIDWAY RD, SUITE 105, DALLAS, TX 75229-6233
(214) 357-9481
(214) 902-0636
Mailing address
10246 MIDWAY RD., SUITE 105, DALLAS, TX 75229-6223
(214) 357-9481
(214) 902-0636
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
D-1883
TX
305R00000X
Preferred Provider Organization
Primary
D1883
TX
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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