Organization
BODY AND SPORT DFW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK PHILLIPS (OFFICE MANAGER)
(972) 899-8002
Entity
Organization
Contact information
Practice address
2601 SAGEBRUSH DR STE 104, FLOWER MOUND, TX 75028-2744
(972) 899-8002
(972) 899-8003
Mailing address
2201 LONG PRAIRIE RD STE 107-845, FLOWER MOUND, TX 75022-4832
(972) 899-8002
(972) 899-8003
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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