Individual
DR. ANNIE J PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1935 MOTOR ST, DALLAS, TX 75235-7701
(214) 678-0921
Mailing address
2725 MARTA DR, IRVING, TX 75060-5527
(214) 316-9150
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K2100
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K2100
ALLOPATHIC PHYSICIAN LIC
TX
Enumeration date
07/27/2006
Last updated
07/08/2007
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