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NPI Code Detail

MEDICARE: JASON ROBERT PHILLIPS M.D.

MEDICARE: JASON ROBERT PHILLIPS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology PhysicianL8473TX

General Provider Information

NPI Number : 1760442685
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON ROBERT PHILLIPS M.D.
Provider Business Mailing Address
First Line : 512 VICTORIA LN STE 2
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-3227
Country : US
Telephone Number : 956-365-4400
Fax Number : 956-365-4111
Provider Business Practice Location Address
First Line : 512 VICTORIA LN STE 2
Second Line :
City : HARLINGEN
State : TX
Zip : 78550-3227
Country : US
Telephone Number : 956-365-4400
Fax Number : 956-365-4111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 04/22/2021

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Directions to “ JASON ROBERT PHILLIPS M.D.” Practice Location

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