Individual
MR. CLEVELAND PHILLIPS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11146 VANCE JACKSON RD APT 3801, SAN ANTONIO, TX 78230-2563
(210) 332-5408
Mailing address
11146 VANCE JACKSON RD APT 3801, SAN ANTONIO, TX 78230-2563
(210) 332-5408
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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