Phillips-Deines, Penny Leigh

Phillips-Deines, Penny Leigh is an sole proprietor health care provider with primary practice located at 5826 Esplanade Dr Suite 101, Corpus Christi TX 78414-4173. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Phillips-Deines, Penny Leigh can be contacted via phone (361) 992-4400.

Contact Information

Primary practice address
5826 Esplanade Dr Suite 101 Corpus Christi TX 78414-4173
Fax: (361) 992-4405
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1719 Texas

Profile Details

NPI number 1215020359
LBN Legal business name Phillips-Deines, Penny Leigh
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jul 9th, 2010 - about 15 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 1215020359 NPPES
Texas MEDICAID 176857401

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