Purdy, Phillip Douglas

Purdy, Phillip Douglas is an individual health care provider with primary practice located at 5323 Harry Hines Blvd , Dallas TX 75390-7208. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuroradiology, which is considered as his primary health care specialty. Purdy, Phillip Douglas can be contacted via phone (214) 645-2300.

Contact Information

Primary practice address
5323 Harry Hines Blvd Dallas TX 75390-7208
Fax: (214) 645-2301
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X F7575 Texas

Profile Details

NPI number 1871558684
LBN Legal business name Purdy, Phillip Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Dec 4th, 2007 - about 17 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 1871558684 NPPES
Texas MEDICAID 123849504

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