Individual
ASHLEY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
713 E ANDERSON ST, WEATHERFORD, TX 76086-5705
(682) 582-1874
(817) 599-1805
Mailing address
713 E ANDERSON ST, WEATHERFORD, TX 76086-5705
(682) 582-1874
(817) 599-1805
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81295
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206894201
—
TX
01
—
8V5796
BCBS
TX
Enumeration date
11/04/2009
Last updated
10/27/2014
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