Organization
PHILCO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP L ALLRED AUD (AUDIOLOGIST)
(936) 291-2414
Entity
Organization
Contact information
Practice address
1911 22ND ST, HUNTSVILLE, TX 77340-4954
(936) 291-2414
(936) 438-8088
Mailing address
PO BOX 6073, HUNTSVILLE, TX 77342-6073
(936) 291-2414
(936) 438-8088
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
50104
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022377801
—
TX
Enumeration date
03/11/2008
Last updated
07/28/2008
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