Phillips, Terra R

Phillips, Terra R is an individual health care provider with primary practice located at 1120 Medical Plaza Dr Suite 150, Shenandoah TX 77380-3242. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Phillips, Terra R can be contacted via phone (713) 897-5900.

Contact Information

Primary practice address
1120 Medical Plaza Dr Suite 150 Shenandoah TX 77380-3242
Phone: (713) 897-5900
Fax: (713) 897-2202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA05101 Texas

Profile Details

NPI number 1154501757
LBN Legal business name Phillips, Terra R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2007
Last updated Feb 1st, 2016 - about 9 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 1154501757 NPPES
Texas MEDICAID 153449704
Texas MEDICAID 153449706

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