Individual
JACQUELINE MARIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1533 S BROWNLEE BLVD, STE 100, CORPUS CHRISTI, TX 78404-3131
(361) 882-3198
Mailing address
1533 S BROWNLEE BLVD, STE 100, CORPUS CHRISTI, TX 78404-3131
(361) 882-3198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N9765
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N9765
LICENSE
TX
Enumeration date
09/10/2010
Last updated
05/01/2019
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