Individual
KATEY ZELLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3431
Mailing address
2255 WASHINGTON AVE, FORT WORTH, TX 76110-1962
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
881802
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
1026896
TX
Other
Enumeration date
12/24/2020
Last updated
02/12/2022
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