Individual
ASHLENE PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 E PLEASANT RUN RD STE 370, CEDAR HILL, TX 75104-1869
(469) 317-1652
Mailing address
513 MEADOW RUN CT, YUKON, OK 73099-5758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0126758
OK
363LF0000X
Family Nurse Practitioner
Primary
1052259
TX
Other
Enumeration date
03/24/2021
Last updated
09/08/2021
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