Individual
JUSTIN THOMAS PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8200 WALNUT HILL LN, TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS, DALLAS, TX 75231-4426
(214) 345-6789
Mailing address
8200 WALNUT HILL LN, TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS, DALLAS, TX 75231-4426
(214) 345-6789
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
T6675
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2017
Last updated
10/19/2022
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