Individual
MR. JIMMY THI PHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
228 TIPPERARY DR, KELLER, TX 76248-2536
(817) 988-8518
(817) 753-6171
Mailing address
PO BOX 1232, KELLER, TX 76244-1232
(817) 988-8518
(817) 753-6171
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
664284
TX
Other
Enumeration date
11/06/2006
Last updated
04/04/2014
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