Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 3603TG | TX |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 3603TG | TX |
NPI | 1073648473 |
---|---|
Provider Name | Dr. Phillip G Adams |
First Address | Stephenville, TX 76401-6241 |
Second Address | Stephenville, TX 76401-3740 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 08/05/2008 |