Organization
GLORIA A PHILLIPS DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA A PHILLIPS (DENTIST)
(713) 663-6019
Entity
Organization
Contact information
Practice address
7707 FANNIN ST, SUITE 153, HOUSTON, TX 77054-1926
(713) 663-6019
(713) 795-5215
Mailing address
7707 FANNIN ST, SUITE 153, HOUSTON, TX 77054-1926
(713) 663-6019
(713) 795-5215
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
12379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111267402
—
TX
Enumeration date
11/22/2006
Last updated
06/27/2011
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