Individual
MR. MARK LYNN PHILLIPS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.C., L.A.T.
Contact information
Practice address
1 RAIDER CIRCLE, NORTHBROOK HIGH SCHOOL, HOUSTON, TX 77080
(713) 365-4430
Mailing address
21610 PARKER RD, TOMBALL, TX 77377-6037
(281) 255-3970
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT0481
TX
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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