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General NPI Number Information
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NPI Number | 1760048607
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Entity Type | Individual
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Provider Name | CAMILLE MICHELLE PHILLIPS MD
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Gender | Female
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Dates
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Enumeration Date | 05/16/2019
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 4900 MUELLER BLVD
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City | AUSTIN
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State | TX
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Zip | 78723-3051
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Country | US
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Telephone | 806-743-6630
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 SKYVIEW RIDGE PASS
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City | LEANDER
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State | TX
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Zip | 78641-3882
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Country | US
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Telephone | 214-284-9687
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | U0826
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License Number State | TX
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