Individual
DR. RONALD E PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, APRN, AGACNP-BC
Contact information
Practice address
1411 E 31ST ST, OAKLAND, CA 94602-1092
(510) 437-4800
Mailing address
201 SETON PKWY, ROUND ROCK, TX 78665-8000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1189480
TX
363LA2200X
Adult Health Nurse Practitioner
839048
NV
363LA2200X
Adult Health Nurse Practitioner
95011464
CA
363LC0200X
Critical Care Medicine Nurse Practitioner
1189480
TX
363LC0200X
Critical Care Medicine Nurse Practitioner
839048
NV
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
95011464
CA
363LG0600X
Gerontology Nurse Practitioner
1189480
TX
363LG0600X
Gerontology Nurse Practitioner
839048
NV
363LG0600X
Gerontology Nurse Practitioner
95011464
CA
Other
Enumeration date
04/08/2019
Last updated
07/12/2025
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