Indarani Phillip

NPI #1427804244 in Longview, Texas

Provider Information

NPI Number: 1427804244
Entity Type: Individual
Name: Indarani Phillip
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 24, 2024
Last Updated: Apr 24, 2024

Practice Location

Address: 700 E MARSHALL AVE
City: Longview
State: Texas
ZIP Code: 75601-5580
Phone: (903) 315-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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