Phillips, Joseph Theodore

Phillips, Joseph Theodore is an individual health care provider with primary practice located at 6301 Gaston Ave Suite 100 West Tower, Dallas TX 75214-3922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Phillips, Joseph Theodore can be contacted via phone (214) 827-3610.

Contact Information

Primary practice address
6301 Gaston Ave Suite 100 West Tower Dallas TX 75214-3922
Phone: (214) 827-3610
Fax: (214) 443-9640
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X F9951 Texas

Profile Details

NPI number 1013983774
LBN Legal business name Phillips, Joseph Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Sep 8th, 2010 - about 14 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 1013983774 NPPES
Texas MEDICAID 123466802

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