| NPI | 1346576949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL WAYNE PHILLIPS Physician 972-745-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX J0197) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |