Individual
DR. GREGORY JOSEPH PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
724 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2221
(817) 336-1200
(817) 338-4707
Mailing address
724 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2221
(817) 336-1200
(817) 338-4707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
F5328
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131535001
—
TX
Enumeration date
07/03/2006
Last updated
01/09/2014
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