MR. MARK LYNN PHILLIPS


Address: 1 Raider Circle, Northbrook High School, Houston, TX 77080
Phone: 7133654430

MR. MARK LYNN PHILLIPS (NPI# 1558336297) 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) 1558336297
Entity Type Individual
Full Name MR. MARK LYNN PHILLIPS
Credential A.T.C., L.A.T.
Practice Address 1 Raider Circle
Northbrook High School
Houston
TX 77080
Mailing Address 21610 Parker Rd
Tomball
TX 77377-6037
Practice Telephone 7133654430
Mailing Telephone 2812553970
Enumeration Date 2006-02-17
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist AT0481 TX Other Service Providers

Other Providers MARK PHILLIPS

NPI Name Taxonomy Address Enumeration
1033697073 Mark Phillips Naturopath 1170 N Gilbert Rd Ste 15, Gilbert, AZ 85234-2340 2018-08-01
1639699663 Mark W. Phillips Nurse Practitioner 1 S School Ave Ste 200, Sarasota, FL 34237 2017-06-21
1225589328 Mark Phillips Counselor 200 Century Park S Ste 116, Birmingham, AL 35226-3923 2016-10-24
1619293735 Mark A Phillips Social Worker 65 Technology Way Ste 1e3, Nashua, NH 03060 2010-04-14
1245403211 Mark Terrance Phillips Dentist 4024 8th Ln, Anoka, MN 55303-1251 2008-04-10
1275568735 Mark C Phillips Legal Medicine 860 N Myrtle Rd, Myrtle Creek, OR 97457-9626 2006-07-12
1598704256 Mark D. Phillips Dentist 311 N Breiel Blvd, Middletown, OH 45042-3868 2006-06-06
1548212863 Mark J Phillips Family Medicine 3627 Webber St, Suite A, Sarasota, FL 34232-4412 2006-05-16
1275511966 Mark Lucas Phillips Pain Medicine 522 N Elam Ave, Ste 203, Greensboro, NC 27403-1151 2006-01-04
1366441644 Mark R Phillips Orthopaedic Surgery 303 N William Kumpf Blvd, Peoria, IL 61605-2507 2005-07-19

Office Location

Street Address 1 RAIDER CIRCLE
NORTHBROOK HIGH SCHOOL
City HOUSTON
State TX
Zip Code 77080

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NPI Name Taxonomy Address Enumeration
1760081715 Valescere Spring Branch Case Management 10005 Lazy Oaks Dr, Houston, TX 77080 2020-10-21
1699323519 Jainy Thomas Family Medicine Panamericana Family Medicine, 1900 Blalock Rd, Houston, TX 77080 2019-09-04
1700433760 Kate Okoroafo Nurse Practitioner 3043 Gessner Dr, Houston, TX 77080 2019-08-23
1750879912 Space City Smiles Clinic/Center 2415 Blalock Rd., Suite A, Houston, TX 77080 2018-04-24
1770088056 Pura Dental Clinic/Center 1507 Gessner Dr. Ste B, Houston, TX 77080 2018-03-28
1356615793 Nk Dental, P.a. Dentist 10139 Hammerly Blvd., Houston, TX 77080 2012-03-02
1700164829 Carolina Velez Isaza Emergency Medicine 8833 Lakeshore Bend Dr, Houston, TX 77080 2011-07-22
1598990772 Francisco G Lopez Godoy Family Medicine 1900 Blalock Rd, Ste M, Houston, TX 77080 2009-05-18
1457519977 Courtney Sanderson Speech-Language Pathologist 3205 Elegia Dr., Houston, TX 77080 2008-05-30
1144492539 Lamborghini Technologies Durable Medical Equipment & Medical Supplies 2870 Gessner Rd. Suite A3, Houston, TX 77080 2008-03-26
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

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1689202004 Bayou Surgical Assistants Inc Specialist 121 N Post Oak Ln Apt 2204, Houston, TX 77024-7717 2020-03-31
1588290761 Jim Gigante Specialist 5607 Fountainbridge Ln, Houston, TX 77069-1917 2020-03-19
1043840044 Valerie Pedraza Specialist 9802d Ella Blvd, Houston, TX 77038-3030 2020-01-19
1386200178 Thaddieus A Reed Specialist 3605 Wilmington St, Houston, TX 77051-3248 2019-05-16
1437617545 Wellness Institute of Neurodevelopment Specialist 5757 Woodway Dr Ste 190, Houston, TX 77057-1526 2019-03-07
1275098568 Idoc Virtual Telehealth Texas Specialist 2311 W Main St, Houston, TX 77098-3218 2019-01-31
1326531708 Houston Neurology Clinical & Diagnostic Consultants Company Specialist 1313 La Concha Ln Ste 130, Houston, TX 77054-1809 2018-06-11
1154840908 Webster Diagnostics, Pllc Specialist 18333 Egret Bay Blvd Ste 200, Houston, TX 77058-3200 2017-09-13
1093242166 Cns Medical Group Specialist 6238 Rietta St, Houston, TX 77016-4338 2017-05-18
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Competitor

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City HOUSTON
Zip Code 77080

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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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