person
Randall R Phillips, DO
Facial Plastic Surgery Physician in Fort Worth, Texas
NPI 1295763183

Randall R Phillips is a Facial Plastic Surgery Physician based in Fort Worth, TX and is specialized in Facial Plastic Surgery. Randall R Phillips practices in Fort Worth, TX and has the professional credentials of DO. The NPI Number for Randall R Phillips is 1295763183 and holds a License No. H6916 (Texas).

The current practice location address for Randall R Phillips is 855 Montgomery St, Fort Worth, TX and can be reached out via phone at 817-735-5450 and via fax at 817-735-5454.

Location: 855 Montgomery St, Fort Worth, TX, 76199-0335
person
Provider Profile Details
NPI Number
1295763183
Provider Name
Randall R Phillips
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
855 Montgomery St, Fort Worth, TX, 76199-0335
Phone Number
817-735-5450
Fax Number
817-735-5454
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
240004825 01 TX RAILROAD MEDICARE PIN
846875 01 TX BCBS
114589804 05 TX
institution
Provider Business Practice Location Address Details
Address
855 Montgomery St
City
State
Zip
76107-2553
Phone Number
817-735-5450
Fax Number
817-735-5454
person
Provider Business Mailing Address Details
Address
855 Montgomery St
City
State
Zip
76107-2553
Phone Number
817-735-5450
Fax Number
817-735-5454
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
License No.
H6916 (Texas)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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