Individual
PHOENIX PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11910 RICHMOND AVE, HOUSTON, TX 77082-6827
(281) 497-2838
Mailing address
5610 HORIZONS EDGE LN, MISSOURI CITY, TX 77459-3614
(708) 925-4871
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/08/2019
Last updated
03/08/2019
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