Individual
MR. GEORGE KENNIE PHILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPAS PAC
Contact information
Practice address
1300 7TH STREET, SUITE 110, WICHITA FALLS, TX 76301-2305
(940) 761-7660
(940) 761-8806
Mailing address
2605 N LEIGHTON CIR, WICHITA FALLS, TX 76309-4115
(940) 691-9210
(940) 691-1557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TXPA00550
TX
Other
Enumeration date
08/10/2007
Last updated
03/07/2023
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