Organization Active NPI

Paul Phillips III, M.D., P.a.

  • Orthopaedic Surgery Physician
  • Fredericksburg, TX
National Provider Identifier
1477045151
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
H2688 Issued in TX
Legal business name
PAUL PHILLIPS III, M.D., P.A.
Practice address
1305 N Milam St
Fredericksburg, TX 78624
Phone
(830) 997-7626
NPI assigned
May 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Authorized official

Name
Norman Winland
Title
Practice Administrator
Phone
(972) 480-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X H2688 TX Primary

Addresses

Primary practice location

1305 N Milam St
Fredericksburg, TX 78624

Mailing address

10759 Preston Rd Ste 200
Dallas, TX 75230-3806
Phone (972) 480-3400

Other names 1

  • Phillips Orthopedic Associates Doing business as

National Provider Directory

National Provider Directory

Locations

2807 Allen St
Dallas, TX 75204
Phone (469) 781-1478

Practitioners & affiliated clinicians

Practitioners 118

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 118

NPI Registry JSON

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1477045151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10759 PRESTON RD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752303806",
            "telephone_number": "972-480-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N MILAM ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "78624",
            "telephone_number": "830-997-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL PHILLIPS III, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "WINLAND",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "972-480-3400"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H2688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillips Orthopedic Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Phillips Orthopedic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.