NPI 1003040452

Wallace L Phillips

Organisation Optometrist Kermit, TX

Practice location

Address: 103 S East Ave, Kermit, TX 79745-3606
Phone: (432) 586-3435
Fax: (432) 586-6737

Authorised official

Name: Wallace L Phillips
Title: Owner
Phone: (432) 586-3435

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 2869TG (TX)

Other Optometrist providers in Texas →

Registry record

NPI: 1003040452
Entity type: Organization
NPI issued: 13 May 2009
Record last updated: 13 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.