Individual provider · Type 1 NPI

Derald Phillips Jr., PA

Medical Physician Assistant · Amarillo, TX

NPI number 1972083137 Active

Practice location

1901 Medi Park Dr Ste 2050
Amarillo, TX 79106-2109

Mailing address

3605 Portland Ave
Amarillo, TX 79118-8197

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700XPA12454 (TX)

Medical Physician Assistant: Definition to come...

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About NPI 1972083137

Derald Phillips Jr., PA's National Provider Identifier is 1972083137, issued on Aug 17, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Amarillo, TX. The record was last updated on May 15, 2019.