Look up the most recent NPI and PECOS records

Annie J Philip

Pediatrics

Allopathic & Osteopathic Physicians

1935 Motor St, Dallas, TX 75235-7701

PECOS Enrollment

Based on the most recent information from CMS, provider Annie J Philip does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 22 days ago.

Profile Details

Provider ID
1669486759
Provider Type
Individual
Full Name
Philip, Annie J
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
7/27/2006
Last Updated
7/8/2007

Contact Information

Practice Location

1935 Motor St, Dallas, TX 75235-7701

(214) 678-0921

Unlisted Fax

Mailing Location

2725 Marta Dr, Irving, TX 75060-5527

(214) 316-9150

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License K2100 Texas

Provider Identifiers

ID	Description	Issuer
ID K2100	Description Other	Issuer ALLOPATHIC PHYSICIAN LIC Texas

Annie J Philip

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Nguyen, Nguyen D

Sam, Maurine

Baumann-Laneve, Heather Kathryn

Gribbons, Megan

Makanji, Vidhi S

Agwu, Abiara Vanessa

Kim, Bonnie Esther

Jones, Erin Michelle

Williams, Justin Blake

Mack, Ashley