NPI 1467620401

Jason Phillips M D P a

Organisation Family Medicine Physician Carthage, TX

Practice location

Address: 1410 W Panola St, Carthage, TX 75633-2348
Phone: (903) 693-9375
Fax: (903) 694-4654
Mailing address: PO Box 519, Carthage, TX 75633-0519

Authorised official

Name: Jim Jason Phillips
Title: Owner
Phone: (903) 693-9375

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence K5658 (TX)

Other Family Medicine providers in Texas →

Registry record

NPI: 1467620401
Entity type: Organization
NPI issued: 12 Feb 2008
Record last updated: 19 Sep 2011

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.