Phillip H Skinner MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

E7737 Issued in TX

Legal business name

PHILLIP H SKINNER MD PA

Practice address

1350 S Main St
Ste 110
Fort Worth, TX 76104

Phone

(817) 332-4363

Fax

(817) 332-5100

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Phillip Howard Skinner, MD

Title

President

Phone

(817) 332-4363

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699893040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S MAIN ST",
            "address_2": "STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-332-4363",
            "fax_number": "817-332-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S MAIN ST",
            "address_2": "STE 110",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-332-4363",
            "fax_number": "817-332-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP H SKINNER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-332-4363",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E7737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christo Thomas Philip, MD
• Joshua Jacob Philip, PHD
• Shailaja M Philip, MD
• Lovely Philipose, M.D.
• Amy C Philipp, DO
• Alice W Phillips, MD
• Amanda Leigh Phillips, LMT
• Angela Phillips
• Anne Phillips, RD LD
• Brit D Phillips, DDS

• Ophthalmology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.