Russell Phillips, D.O.

NPI #1629041827 in Coppell, Texas

Provider Information

NPI Number: 1629041827
Entity Type: Individual
Name: Russell Phillips, D.O.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Feb 8, 2006
Last Updated: Sep 18, 2009

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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