Wallace L Phillips, O.D.

NPI #1457444580 in Kermit, Texas

Provider Information

NPI Number
1457444580
Entity Type
Individual
Name
Wallace L Phillips, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Oct 2, 2006
Last Updated
Jul 6, 2010

Practice Location

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

Specialties & Taxonomy Codes

Specialty
Optometrist

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