Individual
MRS. ANNE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
815 PLANTATION DR, SUITE 160, RICHMOND, TX 77406-5038
(832) 595-6001
(832) 595-6003
Mailing address
815 PLANTATION DR, SUITE 160, RICHMOND, TX 77406-5038
(832) 595-6001
(832) 595-6003
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT043823
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CDE845084817
BLUECROSS BLUESHIELD
TX
Enumeration date
12/11/2008
Last updated
12/11/2008
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