Individual
AMY C PHILIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
9840 N BEACH ST, FORT WORTH, TX 76244-6184
(817) 431-3898
(817) 379-1161
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
L2551
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U87Z
BCBSTX GRP PIN
TX
01
—
140543100
FIRSTCARE PIN
TX
05
—
146616104
—
TX
01
—
1750369203
GRP NPI NUMBER
—
01
—
1958119
FIRSTHEALTH PIN
TX
01
—
2115312
UHC PIN
TX
01
—
760027
AETNA PIN
TX
01
—
84312S
BCBSTX IND PIN
TX
01
—
8951478
CIGNA PIN
TX
01
—
PHIA456738
CCHIP PIN
TX
Enumeration date
10/18/2006
Last updated
07/21/2022
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