Individual provider · Type 1 NPI
Randall R. Phillips, DO
Facial Plastic Surgery Physician · Fort Worth, TX
NPI number
1295763183
Active
Practice location
855 Montgomery St
Fort Worth, TX 76107-2553
Fax (817) 735-5454
Mailing address
PO Box 99335
Fort Worth, TX 76199-0335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | H6916 (TX) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
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About NPI 1295763183
Randall R. Phillips, DO's National Provider Identifier is 1295763183, issued on Jun 29, 2006. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Fort Worth, TX. The record was last updated on Jan 27, 2009.