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NPI Code Detail

MEDICARE: PHINEY TREESA PHILIP

MEDICARE: PHINEY TREESA PHILIP
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
1183700000XPharmacy Technician371293TX

General Provider Information

NPI Number : 1619788833
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHINEY TREESA PHILIP
Provider Business Mailing Address
First Line : 6303 SIENNA RANCH RD APT 2111
Second Line :
City : MISSOURI CITY
State : TX
Zip : 77459-4787
Country : US
Telephone Number : 346-347-9407
Fax Number :
Provider Business Practice Location Address
First Line : 12225 HIGHWAY 6
Second Line :
City : FRESNO
State : TX
Zip : 77545-8805
Country : US
Telephone Number : 281-431-4248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2025
Last Update Date : 01/16/2025

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Directions to “ PHINEY TREESA PHILIP ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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