Phillips, Timothy Ray

Phillips, Timothy Ray is an sole proprietor health care provider with primary practice located at 2251 Myrtlewood Dr , Dallas TX 75232-1039. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Phillips, Timothy Ray can be contacted via phone (214) 918-5938.

Contact Information

Primary practice address
2251 Myrtlewood Dr Dallas TX 75232-1039
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1518785906
LBN Legal business name Phillips, Timothy Ray
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2024
Last updated Oct 2nd, 2024 - about 2 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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