Phillips, Randall R

Phillips, Randall R is an individual health care provider with primary practice located at 855 Montgomery St , Fort Worth TX 76107-2553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as his primary health care specialty. Phillips, Randall R can be contacted via phone (817) 735-5450.

Contact Information

Primary practice address
855 Montgomery St Fort Worth TX 76107-2553
Phone: (817) 735-5450
Fax: (817) 735-5454
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X H6916 Texas

Profile Details

NPI number 1295763183
LBN Legal business name Phillips, Randall R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Jan 27th, 2009 - about 17 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 1295763183 NPPES
Texas Other 240004825 RAILROAD MEDICARE PIN
Texas Other 846875 RAILROAD MEDICARE PIN
Texas MEDICAID 114589804 RAILROAD MEDICARE PIN

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