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Contact Information

STAN M PHILIP, PA-C
1301 SUMMER LEE DR
ROCKWALL, TX75032
 Phone: 972-771-8111
 Fax: 972-771-8103
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for STAN M PHILIP · (Male)

NPI # 1780234096
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/18/2019
Last updated 11/25/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # PA13090
  • TX License # STUDENT
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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