MS. JALENE W PHILLIPS


Address: 229 Mcgee Dr, Fort Worth, TX 76114-4347
Phone: 8176906676

MS. JALENE W PHILLIPS (NPI# 1598968018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598968018
Entity Type Individual
Full Name MS. JALENE W PHILLIPS
Other Name JALENE PHILLIPS
Credential JALENE PHILLIPS
Practice Address 229 Mcgee Dr
Fort Worth
TX 76114-4347
Practice Telephone 8176906676
Mailing Telephone 8176906676
Enumeration Date 2007-06-11
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2471M1202X Radiologic Technologist
Specialization: Magnetic Resonance Imaging
Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 229 MCGEE DR
City FORT WORTH
State TX
Zip Code 76114-4347

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Taxonomy Information

Taxonomy Code 2471M1202X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Magnetic Resonance Imaging

Taxonomy Definition

Definition to come...

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Competitor

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City FORT WORTH
Zip Code 76114

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Dataset Information

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.

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