Search › Texas › 1223G0001X
Jake Philip
NPI 1659907871 · on the registry since 2020
Practice
- Address
- 4500 S Lancaster Rd
Dallas, TX 75216 - Phone
- (214) 857-1082
- Organisation at this address
- Vanthcs
Vantxhcs
Va Vcs Phcy
Dallas Vamc
Dallas VamcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,064
Additional practice sites
- 1801 W Wisconsin Ave, Milwaukee, WI
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-08-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas