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1144578683 NPI number — PHILLIP ANDREW SAUNDERS D.O.

NPI Number: 1144578683
Health Care Provider/Practitioner: PHILLIP ANDREW SAUNDERS D.O.

Information about “1144578683” NPI (PHILLIP ANDREW SAUNDERS D.O.) exists in 1144578683 in HTML format HTML  |  1144578683 in plain Text format TXT  |  1144578683 in PDF (Portable Document Format) PDF  |  1144578683 in an XML format XML  formats.

NPI Number : 1144578683 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144578683",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SAUNDERS",
    "FirstName": "PHILLIP",
    "MiddleName": "ANDREW",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.O.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "800 W MAGNOLIA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FORT WORTH",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76104-4611",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-759-7000",
    "MailingAddressFaxNumber": "817-759-7027",
    "FirstLinePracticeLocationAddress": "1751 BROAD PARK CIR S STE 201",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MANSFIELD",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76063-7827",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-759-7000",
    "PracticeLocationAddressFaxNumber": "817-759-7027",
    "EnumerationDate": "08/15/2012",
    "LastUpdateDate": "02/06/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207R00000X",
          "TaxonomyName": "Internal Medicine Physician",
          "LicenseNumber": "BP10044534",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RH0003X",
          "TaxonomyName": "Hematology & Oncology Physician",
          "LicenseNumber": "Q1901",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RH0003X",
          "TaxonomyName": "Hematology & Oncology Physician",
          "LicenseNumber": "20A17393",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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