Individual provider · Type 1 NPI

Indarani Phillip

Student in an Organized Health Care Education/Training Program · Longview, TX

NPI number 1427804244 Active

Practice location

700 E Marshall Ave
Longview, TX 75601-5580

Mailing address

7659 Aspen Park Dr
San Antonio, TX 78249-4268

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1427804244

Indarani Phillip's National Provider Identifier is 1427804244, issued on Apr 24, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Longview, TX. The record was last updated on Apr 24, 2024.