Individual
PHILIP BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-1221
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-1221
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
BP10079484
TX
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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