Provider Demographics
NPI:1992757173
Name:PHILIPS, KAY L (MD)
Entity type:Individual
Prefix:DR
First Name:KAY
Middle Name:L
Last Name:PHILIPS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:9101 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-5927
Mailing Address - Country:US
Mailing Address - Phone:214-363-2305
Mailing Address - Fax:214-363-2608
Practice Address - Street 1:9101 N CENTRAL EXPY
Practice Address - Street 2:SUITE 300
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-5927
Practice Address - Country:US
Practice Address - Phone:214-363-2305
Practice Address - Fax:214-363-2608
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM3357207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183138001Medicaid
TX8V2351OtherBCBS
TX183138001Medicaid
TXP00412179Medicare PIN
TX8G6482Medicare PIN