Healthcare Provider Details

I. General information

NPI: 1760345938
Provider Name (Legal Business Name): MEGAN D PHILLIPS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MEGAN D JONES RN

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 S HULEN ST
FORT WORTH TX
76132-4820
US

IV. Provider business mailing address

134 BLACK FOREST DR
WEATHERFORD TX
76086-5916
US

V. Phone/Fax

Practice location:
  • Phone: 817-752-2171
  • Fax:
Mailing address:
  • Phone: 682-333-9914
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number984469
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: