Individual
AMY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4330 MEDICAL DR STE 105, SAN ANTONIO, TX 78229-3353
(210) 692-7228
Mailing address
7142 SAN PEDRO AVE STE 120, SAN ANTONIO, TX 78216-6256
(210) 692-7228
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
638550
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP139352
TX
363LG0600X
Gerontology Nurse Practitioner
AP139352
TX
Other
Enumeration date
11/17/2018
Last updated
01/14/2022
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