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Mr. Derald Phillips JR., PA
Medical Physician Assistant in Amarillo, Texas
NPI 1972083137

Derald Phillips JR. is a Medical Physician Assistant based in Amarillo, TX and is specialized in Medical. Derald Phillips JR. practices in Amarillo, TX and has the professional credentials of PA. The NPI Number for Derald Phillips JR. is 1972083137 and holds a License No. (Texas).

The current practice location address for Derald Phillips JR. is 1901 Medi Park Dr Ste 2050, Amarillo, TX and can be reached out via phone at 806-355-3352.

Location: 1901 Medi Park Dr Ste 2050, Amarillo, TX, 79118-8197
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972083137
Provider Name
Derald Phillips JR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1901 Medi Park Dr Ste 2050, Amarillo, TX, 79118-8197
Phone Number
806-355-3352
Fax Number
Provider Enumeration Date
08/17/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1901 Medi Park Dr Ste 2050
City
Amarillo
State
Texas
Zip
79106-2109
Phone Number
806-355-3352
Fax Number
person
Provider Business Mailing Address Details
Address
1901 Medi Park Dr Ste 2050
City
Amarillo
State
Texas
Zip
79106-2109
Phone Number
806-355-3352
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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