Philip, Mini M

Philip, Mini M is an sole proprietor health care provider with primary practice located at 3531 Town Center Blvd S Suite 101, Sugar Land TX 77479-2590. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Philip, Mini M can be contacted via phone (281) 491-3225.

Contact Information

Primary practice address
3531 Town Center Blvd S Suite 101 Sugar Land TX 77479-2590
Fax: (281) 491-1702
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 687788 Texas

Profile Details

NPI number 1265725840
LBN Legal business name Philip, Mini M
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2011
Last updated May 16th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265725840 NPPES
Texas Other 687788 LICENSE

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