MS. TERRA R PHILLIPS (NPI# 1154501757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154501757 |
| Entity Type | Individual |
| Full Name | MS. TERRA R PHILLIPS |
| Credential | PA-C |
| Practice Address |
1120 Medical Plaza Dr Suite 150 Shenandoah TX 77380-3242 |
| Mailing Address |
6400 Fannin St Ste 2070 Houston TX 77030-1541 |
| Practice Telephone | 7138975900 |
| Practice Fax Number | 7138972202 |
| Mailing Telephone | 7137046731 |
| Mailing Fax Number | 7137046889 |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2016-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA05101 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 153449704 | 05 | |
| TX | 153449706 | 05 |
| Street Address |
1120 MEDICAL PLAZA DR SUITE 150 |
| City | SHENANDOAH |
| State | TX |
| Zip Code | 77380-3242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669968335 | Tracy Palmer | Nurse Practitioner | 1120 Medical Plaza Dr, Shenandoah, TX 77380-3242 | 2018-07-06 |
| 1619369303 | Nicole Louise Crosby | Nurse Practitioner | 1120 Medical Plaza Dr, Suite 335, Shenandoah, TX 77380-3242 | 2015-03-04 |
| 1326440611 | North Houston Physician Alliance, Pllc | Internal Medicine | 1120 Medical Plaza Dr, Suite 335, Shenandoah, TX 77380-3242 | 2014-09-18 |
| 1639486749 | Lindsay Marie Domangue | Physician Assistant | 1120 Medical Plaza Dr, Ste 250b, Shenandoah, TX 77380-3242 | 2010-09-10 |
| 1942443312 | James Antwi Owusu | Otolaryngology | 1120 Medical Plaza Dr, Shenandoah, TX 77380-3242 | 2009-04-14 |
| 1679722425 | S.g. Ghide, M.d,, P.a. | Internal Medicine | 1120 Medical Plaza Dr, Ste 310, Shenandoah, TX 77380-3242 | 2008-09-17 |
| 1992952246 | Laurie Mckillip M.d., P.a. | Pediatrics | 1120 Medical Plaza Dr, Suite 250, Shenandoah, TX 77380-3242 | 2008-08-19 |
| 1255515235 | A. G. Moore M.d, P.a. | Specialist | 1120 Medical Plaza Dr, Suite 340, Shenandoah, TX 77380-3242 | 2007-12-26 |
| 1164604104 | Michelle A Hanes Mdpa | Specialist | 1120 Medical Plaza Dr, Suite 150, Shenandoah, TX 77380-3242 | 2007-12-01 |
| 1255513297 | Michelle M. Mulder, M.d.p.a. | Specialist | 1120 Medical Plaza Dr, Suite #150, Shenandoah, TX 77380-3242 | 2007-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952874034 | Elevated Neuro LLC | Specialist/Technologist, Other | 719 Sawdust Rd Ste 213, The Woodlands, TX 77380 | 2019-01-10 |
| 1588139851 | Sara Barchie | Dietitian, Registered | 26113 Oak Ridge Drive, Suite A, The Woodlands, TX 77380 | 2018-10-12 |
| 1730664988 | Global Bionics, LLC | Durable Medical Equipment & Medical Supplies | 1001 Medical Loop, Ste 220, Spring, TX 77380 | 2018-10-03 |
| 1104309350 | Kristina Nicole Zills | Psychologist | 26205 Oak Ridge Dr. Suite 103, The Woodlands, TX 77380 | 2018-09-13 |
| 1972094365 | Southern Texas Allergy The Woodlands | Allergy & Immunology | 9191 Pinecroft Dr Ste 290, Shenandoah, TX 77380 | 2018-05-22 |
| 1609373992 | Joy Adaku Ekwueme | Nurse Practitioner | Main Street Medical Clinic, 1120 Medical Plaza Dr, Suite 335, Shenandoah, TX 77380 | 2018-04-12 |
| 1821517103 | Catalyst Medical Suites, LLC | Clinic/Center | 1544 Sawdust Rd Ste 280, Spring, TX 77380 | 2017-09-18 |
| 1114440898 | Elanor Sung | Massage Therapist | 26103 I 45, Ste 102, The Woodlands, TX 77380 | 2017-07-25 |
| 1043732555 | Chinyere Obiakwata | Nurse Practitioner | 201 Pruitt Rd Apt 430, Spring, TX 77380 | 2017-07-17 |
| 1295261055 | Nafeiza Persaud | Counselor | 25301 Borough Park Dr Ste 125, Spring, TX 77380 | 2017-05-11 |
| Find all providers in zip 77380 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376901892 | Lisa Nueman | Physician Assistant | 1120 Medical Plaza Dr Ste 200, Shenandoah, TX 77380-3253 | 2016-01-29 |
| 1205879210 | Amy Ward Hamilton | Physician Assistant | 19221 I H 45 S Ste 400, Southwood Tower, Shenandoah, TX 77385-8756 | 2006-06-14 |
| 1437522646 | Claudia Patricia Flores | Physician Assistant | 9200 Pinecroft Dr Ste 480, Shenandoah, TX 77380 | 2015-11-10 |
| 1760785356 | Jonas Gileguy Konan | Physician Assistant | 1111 Medical Plaza Dr, Suite 200, Shenandoah, TX 77380-3476 | 2010-12-21 |
| 1477869972 | Nicole Angelique Norton | Physician Assistant | 9201 Pinecroft Dr, Shenandoah, TX 77380-3222 | 2010-08-23 |
| 1225139694 | Renee Lemm | Physician Assistant | 117 Vision Park Blvd, Shenandoah, TX 77384-3001 | 2006-09-26 |
| 1760459564 | Karen Tipton Faust | Physician Assistant | 9201 Pinecroft Dr, Shenandoah, TX 77380-3222 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704576 | Leila Olive Adell | Physician Assistant | 1221 S Congress Ave Apt 331, Austin, TX 78704-2461 | 2020-09-10 |
| 1619591864 | Today Telemedicine Pllc | Physician Assistant | 404 Oxford St Apt 2219, Houston, TX 77007-2679 | 2020-06-03 |
| 1497384168 | Gregory C Etienne | Physician Assistant | 7400 N 4th St, Mcallen, TX 78504-1859 | 2020-04-05 |
| 1689202475 | Theodore Inthaphom | Physician Assistant | 25222 Northwest Fwy Apt 349, Cypress, TX 77429-1065 | 2020-03-29 |
| 1740816982 | Alyssa Conrad | Physician Assistant | 4818 Star Jasmine Dr, Austin, TX 78723-6059 | 2020-03-19 |
| 1114558335 | Erin Lynn Brown | Physician Assistant | 1504 Taub Loop Houston, Houston, TX 77030 | 2020-01-27 |
| 1245870930 | Jessica Grimaldo | Physician Assistant | 1200 Brooklyn Ave Ste 230, San Antonio, TX 78212-0010 | 2020-01-09 |
| 1730728528 | Holli Marie Beard | Physician Assistant | 2625 Scripture St Ste 101, Denton, TX 76201-2304 | 2019-12-27 |
| 1477191237 | Ronald Edwin Brown | Physician Assistant | 1427 Cypress Point Dr, Gunter, TX 75058-3201 | 2019-12-11 |
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| Find all providers with the same taxonomy | ||||
| City | SHENANDOAH |
| Zip Code | 77380 |
Please comment or provide details below to improve the information on MS. TERRA R PHILLIPS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.