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1295763183
RANDALL R PHILLIPS
FORT WORTH, TX
NPI
1295763183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207YS0123X Otolaryngology, Facial Plastic Surgery
(Licence: TX H6916)
Enumeration Date
2006-06-29
Last Update Date
2009-01-27
Business Address
-- RANDALL R PHILLIPS DO
855 MONTGOMERY ST
FORT WORTH, TX 76107-2553
Phone number: 817-735-5450
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Mailing Address
-- RANDALL R PHILLIPS DO
PO BOX 99335
FORT WORTH, TX 76199-0335
Phone number: 817-735-5450
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