Organization
ABSOLUTELY THIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY A. PHILLIPS PA-C (STAFF PHYSICIAN ASSISTANT)
(972) 934-3231
Entity
Organization
Contact information
Practice address
15150 PRESTON RD SUITE 150, DALLAS, TX 75248
(972) 934-3231
Mailing address
15150 PRESTON RD STE 150, DALLAS, TX 75248-4877
(972) 934-3231
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
PA02139
TX
Other
Enumeration date
01/29/2014
Last updated
01/29/2014
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