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Individual

DR. PHILLIP L ADMIRE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18780 INTERSTATE 20, CANTON, TX 75103-3593
(903) 567-7748
Mailing address
4700 ALLIANCE BLVD, PLANO, TX 75093-5323

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L-7635
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
180634104
TX
01
1N4519
MEDICARE RAILROAD
TX
01
P00853231
RRMCARE THRU IEPOS
TX
Enumeration date
06/11/2006
Last updated
09/25/2023
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