Individual
DR. PHILIP ABRAHAM KOVOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4708 ALLIANCE BLVD, SUITE 150, PLANO, TX 75093-5340
(972) 596-7801
(972) 596-9307
Mailing address
PO BOX 911230, DALLAS, TX 75391-1230
(972) 997-8000
(972) 234-2987
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
N2606
TX
207RX0202X
Medical Oncology Physician
Primary
N2606
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204403401
—
TX
05
—
204403402
—
TX
01
—
P00840655
RAILROAD MEDICARE
TX
Enumeration date
10/08/2008
Last updated
09/16/2010
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