Individual
DR. HENRY LEE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5201 BOSQUE BLVD, SUITE 220, WACO, TX 76710-4411
(254) 741-1022
(254) 776-5310
Mailing address
5201 BOSQUE BLVD, SUITE 220, WACO, TX 76710-4411
(254) 741-1022
(254) 776-5310
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2155
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7517867734
IDENTIFICATION NUMBER
TX
Enumeration date
05/02/2007
Last updated
07/08/2007
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