Organization
INTERGRATED PALLIATIVE CARE SERVICES PLLC
Active
Other names
Bristol Advanced Illness
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L PHILLIPS MBA / MHA (NATIONAL DIRECTOR OF PHYSICIANS)
(435) 862-6143
Entity
Organization
Contact information
Practice address
115 PARK PLACE BLVD STE 600, WAXAHACHIE, TX 75165-9209
(469) 553-0750
Mailing address
206 N 2100 W STE 202, SALT LAKE CITY, UT 84116-4741
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
04/14/2020
Last updated
06/10/2020
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