Cynthia B Phillips DO PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

L0510 Issued in TX

Legal business name

CYNTHIA B PHILLIPS DO PA

Practice address

450 Medical Center Blvd Ste 540
Webster, TX 77598-4232

Phone

(832) 932-5138

Fax

(832) 932-5142

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Amy Tabor

Title

Office Manager

Phone

(832) 932-5138

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1376596262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 MEDICAL CENTER BLVD STE 540",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984232",
            "telephone_number": "832-932-5138",
            "fax_number": "832-932-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 MEDICAL CENTER BLVD STE 540",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775984232",
            "telephone_number": "832-932-5138",
            "fax_number": "832-932-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA B PHILLIPS DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "TABOR",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "832-932-5138"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L0510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179224401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GR#",
            "identifier": "0067NJ",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Obstetrics & Gynecology Physician in Webster, TX
• Providers in Webster, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.