George Kennie Phillis, MPAS PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

TXPA00550 Issued in TX

Practice address

1300 7TH Street
Suite 110
Wichita Falls, TX 76301-2305

Phone

(940) 761-7660

Fax

(940) 761-8806

NPI assigned

Aug 10, 2007

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982896254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 N LEIGHTON CIR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763094115",
            "telephone_number": "940-691-9210",
            "fax_number": "940-691-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 7TH STREET",
            "address_2": "SUITE 110",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763012305",
            "telephone_number": "940-761-7660",
            "fax_number": "940-761-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIS",
        "first_name": "GEORGE",
        "middle_name": "KENNIE",
        "name_prefix": "Mr.",
        "credential": "MPAS PAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "TXPA00550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brook Peters, PT
• Daunne Peters, M.D.
• Franklen Phares Jr.
• Phillip W. Kelly, MD, PA (North Texas Ophthalmology Associates)
• Scott Brian Phillips, M.D.
• Traci Christine Phipps, MA, LPC
• Catherine Pierpont, LCSW
• Pinnacle Integrative Orthopedics and Sports Medicine
• Pinnacle Transformations
• Ginger Ann Pino, PHARM. D., R. PH.

• Physician Assistant in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.