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Contact Information

TRACY T. PHILLIPS, MD, MEDICAL CORPORATION
2089 VALE ROAD
SUITE 10
SAN PABLO, CA94806
 Phone: 510-234-4235
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for TRACY T. PHILLIPS, MD, MEDICAL CORPORATION

NPI # 1316031818
LBN Legal business name TRACY T. PHILLIPS, MD, MEDICAL CORPORATION
Authorized official TRACY PHILLIPS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2006
Last updated 01/21/2010 - About 16 years ago
Identifiers
CA License # A84062
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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