DEMETRIA D PHILLIPS
NPI 1740900612
Prosthetic/Orthotic Supplier in Houston, TX
- Individual
- Female
- Prosthetic/Orthotic Supplier
About DEMETRIA PHILLIPS
This page provides the complete NPI Profile along with additional information for Demetria Phillips, a provider established in Houston, Texas with a medical specialization in Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1740900612 assigned on August 2022. The practitioner's primary taxonomy code is 335E00000X with license number 1602217 (TX). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1740900612 Verify this NPI
- Provider Name
- DEMETRIA D PHILLIPS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5215 FM 1960 RD W HOUSTON, TX 77069
- Location Phone
- (337) 570-0712
- Mailing Address
- 10144 WILD HOLLOW LN HOUSTON, TX 77088
- Mailing Phone
- (337) 570-0712
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-31-2022
- Last Update Date
- 08-31-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- License No.
- 1602217
- License State
- TX
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 405300000X | Other Service Providers | Prevention Professional | 1602217 (TX) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1740900612, enumerated as an "individual" on August 31, 2022.
The provider is located at 5215 FM 1960 RD W HOUSTON, TX 77069 and the phone number is (337) 570-0712.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
