Phillips, Martha

Phillips, Martha is an sole proprietor health care provider with primary practice located at 4801 Troup Hwy Suite 800, Tyler TX 75703-2356. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Phillips, Martha can be contacted via phone (903) 939-2800.

Contact Information

Primary practice address
4801 Troup Hwy Suite 800 Tyler TX 75703-2356
Phone: (903) 939-2800
Fax: (817) 789-6849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 208673 Texas

Profile Details

NPI number 1295070472
LBN Legal business name Phillips, Martha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2012
Last updated Nov 29th, 2012 - about 14 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 1295070472 NPPES
Texas MEDICAID 149984001
Texas MEDICAID 207164901

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