Individual
DR. JAN ELIZABETH PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8200 WALNUT HILL LN, DALLAS, TX 75231-4426
(214) 221-6362
(214) 345-8784
Mailing address
5310 GALAXIE RD, GARLAND, TX 75044-4502
(214) 221-6362
(214) 345-8784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N1836
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199555701
—
TX
01
—
N1836
MEDICAL BOARD
TX
Enumeration date
03/21/2008
Last updated
02/04/2011
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