Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | P6246 | TX |
NPI | 1023277266 |
---|---|
Provider Name | Lauren Therese Phillips |
First Address | Dallas, TX 75284-5347 |
Second Address | Dallas, TX 75390-7501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2008 |
Last Update Date | 06/06/2013 |