1245678390 NPI number — ARTHUR ALEXANDER PHILLIPS O.T.

Table of content: ARTHUR ALEXANDER PHILLIPS O.T. (NPI 1245678390)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245678390 NPI number — ARTHUR ALEXANDER PHILLIPS O.T.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PHILLIPS
Provider First Name:
ARTHUR
Provider Middle Name:
ALEXANDER
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
O.T.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245678390
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/11/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6850 TPC DR
Provider Second Line Business Mailing Address:
SUITE 212
Provider Business Mailing Address City Name:
MCKINNEY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75070-3145
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-838-1635
Provider Business Mailing Address Fax Number:
972-838-1634

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6850 TPC DR
Provider Second Line Business Practice Location Address:
SUITE 212
Provider Business Practice Location Address City Name:
MCKINNEY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75070-3145
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-838-1635
Provider Business Practice Location Address Fax Number:
972-838-1634
Provider Enumeration Date:
06/11/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225X00000X , with the licence number:  110526 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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