Charles W Phillips

NPI #1417599234 in Midland, Texas

Provider Information

NPI Number: 1417599234
Entity Type: Organization
Organization Name: Charles W Phillips
Primary Specialty: Optometrist
Enumeration Date: Oct 14, 2019
Last Updated: Oct 14, 2019

Practice Location

Address: 4311 W WADLEY AVE
City: Midland
State: Texas
ZIP Code: 79707-5457
Phone: (432) 689-0323

Authorized Official

Name: CHARLES W PHILLIPS, OD
Title: OWNER
Phone: (432) 689-0323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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