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Contact Information

LESLIE M PHILLIPS, RN
10017 STONELEIGH DR
FORT WORTH, TX76126
 Phone: 817-800-8386
 Fax: 817-295-4992
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for LESLIE M PHILLIPS · (Female)

NPI # 1225091879
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 04/06/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 232148
  • TX Other 0079KE BCBS OF TEXAS PROVIDER #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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