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Individual

MR. PHILLIP LELAND PLATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BSN, RNC, NNP-BC

Contact information

Practice address
1600 WALLACE BLVD, AMARILLO, TX 79106-1799
(806) 212-5303
(806) 212-5311
Mailing address
PO BOX 31374, AMARILLO, TX 79120-1374
(806) 212-5303
(806) 212-5311

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
541249
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
157924501
TX
Enumeration date
01/07/2008
Last updated
09/30/2009
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