Individual
DAVID WALKER PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
700 SCOTT AND WHITE DR, COLLEGE STATION, TX 77845-6441
(979) 207-0100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP119883
TX
367500000X
Certified Registered Nurse Anesthetist
RN193091
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8052854
—
NC
01
—
P00679669
RAILROAD MEDICARE
NC
Enumeration date
11/10/2006
Last updated
05/11/2016
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