Dr. Wendell S Phillips, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Tyler, TX. Individual provider (NPI-1).
NPI number1164497871
StatusActive
Last updated in NPPESMar 12, 2020
Details
- NPI
- 1164497871
- Entity type
- Individual (NPI-1)
- Name
- Dr. Wendell S Phillips
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 17, 2006
- Certification date
- Mar 12, 2020
- Last updated
- Mar 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | K3395 | TX | Yes |
Practice location
700 Olympic Plaza Cir Ste 508Tyler, TX 75701-1952
Phone 903-595-6680 · Fax 903-592-1934
Mailing address
Po Box 150Tyler, TX 75710-0150
Phone 903-595-6680 · Fax 903-592-1934
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