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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WALLACE L PHILLIPS

Active Organization

WALLACE L PHILLIPS is a Optometrist organization located in KERMIT, Texas. NPI 1003040452 is currently active in the NPPES registry. Verify at CMS.

Optometrist · KERMIT, TX

Registration Details

NPI Number
1003040452
Provider Type
Organization
NPI Issued
May 13, 2009 (17.249630121897 yrs)
Last Updated
May 13, 2009
License
2869TG (TX)

Practice Information

Address
103 S EAST AVE
KERMIT, TX, 797453606
Browse TX providers · Browse ZIP 79745
Phone
4325863435
Fax
4325866737
Primary Specialty
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.