Coppell Clinic, P.a.

NPI #1346576949 in Coppell, Texas

Provider Information

NPI Number: 1346576949
Entity Type: Organization
Organization Name: Coppell Clinic, P.a.
Primary Specialty: Family Medicine
Enumeration Date: Nov 2, 2009
Last Updated: Nov 2, 2009

Practice Location

Address: 171 N DENTON TAP RD
Address 2: SUITE 200
City: Coppell
State: Texas
ZIP Code: 75019-2915
Phone: (972) 745-4446

Authorized Official

Name: DR. RUSSELL WAYNE PHILLIPS, D.O.
Title: PHYSICIAN
Phone: (972) 745-4446

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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