PHILIP SOUTHERN

GEORGETOWN, TX
NPI1316746530
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX  1190401)
Enumeration Date2025-03-10
Last Update Date2025-03-10
Business Address
PHILIP SOUTHERN APRN, PMHNP-BC
3626 WILLIAMS DR STE 100
GEORGETOWN, TX 78628-4092
Phone number: 888-374-5066
Mailing Address
PHILIP SOUTHERN APRN, PMHNP-BC
3626 WILLIAMS DR STE 100
GEORGETOWN, TX 78628-4092
Phone number: 888-374-5066
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