Wallace L Phillips

NPI #1003040452 in Kermit, Texas

Provider Information

NPI Number: 1003040452
Entity Type: Organization
Organization Name: Wallace L Phillips
Primary Specialty: Optometrist
Enumeration Date: May 13, 2009
Last Updated: May 13, 2009

Practice Location

Address: 103 S EAST AVE
City: Kermit
State: Texas
ZIP Code: 79745-3606
Phone: (432) 586-3435

Authorized Official

Name: DR. WALLACE L PHILLIPS, O.D.
Title: OWNER
Phone: (432) 586-3435

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Wallace L Phillips, O.D.	Optometrist	Kermit	AI Deep Dive
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