Tony Phillips, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1129 Issued in OK

Practice address

312 N Pacific St
Mineola, TX 75773-1712

Phone

(903) 569-0020

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grace Community Healthcare Ministry

  • Clinic/Center
  • Mineola, TX
  • NPI 1619705134
  NPD (past)
• Neon Clinic Inc

  • Specialist
  • Durant, OK
  • NPI 1720033087
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1003841560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N PACIFIC ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757731712",
            "telephone_number": "903-569-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N PACIFIC ST",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757731712",
            "telephone_number": "903-569-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TONY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Ogueri
• Omega Chiropractic
• John Paden Overbey
• Jadi Donn Parker, PHARM. D.
• Kokeesha E. Paul, FNP
• Pillans Healthcare
• Jill Quiambao, RN, FNP-C
• Quitman Hospital LLC
• RCG East Texas, LLP
• Mindy Ann Redding, LPC

• Physician Assistant in Mineola, TX
• Providers in Mineola, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.