Search › Texas › 101YA0400X
Martin Phillips, LCDC INTERN
NPI 1972734960 · on the registry since 2009 · sole proprietor
Practice
- Address
- 239 S Virginia St
Stephenville, TX 76401 - Phone
- (254) 965-5515
- Fax
- (254) 965-7416
- Organisation at this address
- Star Council On Substance Abuse
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-07
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