Organization
WENDY D. PHIPPS, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY D PHIPPS M.D. (OWNER)
(915) 544-9700
Entity
Organization
Contact information
Practice address
401 BOSTON AVE, SUITE A, EL PASO, TX 79902-2601
(915) 544-9700
(915) 544-9701
Mailing address
401 BOSTON AVE, SUITE A, EL PASO, TX 79902-2601
(915) 544-9700
(915) 544-9701
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
L4648
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165329703
—
TX
Enumeration date
01/15/2008
Last updated
03/21/2013
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