Jason Phillips M D P A

LBN: Jason Phillips M D P A
Jason Phillips M D P A is an health care organization with primary practice located at 1410 W Panola St , Carthage TX 75633-2348. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Jason Phillips M D P A can be contacted via phone (903) 693-9375, or through Phillips, Jim Jason via phone (903) 693-9375.

Contact Information

Primary practice address
1410 W Panola St Carthage TX 75633-2348
Phone: (903) 693-9375
Fax: (903) 694-4654
Website:
Map and Directions
Authorized official contact:
Name: Phillips, Jim Jason Doctor of Medicine (MD)
Phone: (903) 693-9375

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X K5658 Texas

Profile Details

NPI number 1467620401
LBN Legal business name Jason Phillips M D P A
DBA Doing business as
Authorized official Phillips, Jim Jason Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2008
Last updated Sep 19th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467620401 NPPES
Texas MEDICAID 151901901

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