NPI 1518785906

Timothy Ray Phillips

Practitioner Peer Specialist Dallas, TX

Practice location

Address: 2251 Myrtlewood Dr, Dallas, TX 75232-1039
Phone: (214) 918-5938

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1518785906
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2024
Record last updated: 2 Oct 2024

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.