Jason Phillips M D P a

NPI #1467620401 in Carthage, Texas

Provider Information

NPI Number: 1467620401
Entity Type: Organization
Organization Name: Jason Phillips M D P a
Primary Specialty: Family Medicine
Enumeration Date: Feb 12, 2008
Last Updated: Sep 19, 2011

Practice Location

Address: 1410 W PANOLA ST
City: Carthage
State: Texas
ZIP Code: 75633-2348
Phone: (903) 693-9375

Authorized Official

Name: DR. JIM JASON PHILLIPS, M.D.
Title: OWNER
Phone: (903) 693-9375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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