Church, Phillip
Church, Phillip is an individual health care provider with primary practice located at 1010 W 40Th St , Austin TX 78756-4010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Church, Phillip can be contacted via phone (512) 459-8753.Contact Information
Primary practice address
1010 W 40Th St
Austin TX 78756-4010
Phone: (512) 459-8753
Fax: (512) 483-6807
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | E4257 | Texas |
Profile Details
| NPI number | 1386651206 |
|---|---|
| LBN Legal business name | Church, Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386651206 | NPPES |
| Texas | Other | 824099 | BCBS OF TEXAS |
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