Phillips, Michael Stephen

Phillips, Michael Stephen is an individual health care provider with primary practice located at 1301 W 7Th St Suite # 121, Ft Worth TX 76102-2651. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Phillips, Michael Stephen can be contacted via phone (817) 348-0425.

Contact Information

Primary practice address
1301 W 7Th St Suite # 121 Ft Worth TX 76102-2651
Phone: (817) 348-0425
Fax: (817) 748-0425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E4598 Texas
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X E 4598 Texas
Allopathic & Osteopathic Physicians / General Practice 208D00000X E 4598 Texas

Profile Details

NPI number 1942234554
LBN Legal business name Phillips, Michael Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Sep 15th, 2017 - about 8 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 1942234554 NPPES
Texas MEDICAID POQD231

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