Healthcare Provider Details

I. General information

NPI: 1295770733
Provider Name (Legal Business Name): PHILLIP DAY & ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 04/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 S CLEAR CREEK RD
KILLEEN TX
76549-4110
US

IV. Provider business mailing address

PO BOX 938
KILLEEN TX
76540-0938
US

V. Phone/Fax

Practice location:
  • Phone: 254-526-7523
  • Fax:
Mailing address:
  • Phone: 254-634-6999
  • Fax: 254-200-4090

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number
License Number StateTX

VIII. Authorized Official

Name: PHILLIP L. DAY
Title or Position: OWNER
Credential: M.D.
Phone: 254-526-7523