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NPI Code Detail

MEDICARE: MATTHEW PHILLIPS MD

MEDICARE:   MATTHEW  PHILLIPS  MD
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
1207RC0000XCardiovascular Disease PhysicianK1897TX

Other Identifiers

General Provider Information

NPI Number : 1871595496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW PHILLIPS MD
Provider Business Mailing Address
First Line : 7800 SHOAL CREEK BLVD SUITE 205N
Second Line : AUSTIN HEART, PLLC
City : AUSTIN
State : TX
Zip : 78757
Country : US
Telephone Number : 512-206-4341
Fax Number : 512-206-4350
Provider Business Practice Location Address
First Line : 800 W CENTRAL TEXAS EXPY
Second Line : STE. 355
City : HARKER HEIGHTS
State : TX
Zip : 76548-1899
Country : US
Telephone Number : 254-526-2085
Fax Number : 254-526-9569
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 04/03/2015

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