DR. BENNY POTHEN PHILLIPS M.D. NPI 1962497305

NPI Information

NPI: 1962497305
Provider Name: DR. BENNY POTHEN PHILLIPS, M.D.
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Individual

Specialization: Gynecologic Oncology

Address:
3621 22ND ST
SUITE 100
LUBBOCK, TX
ZIP 79410
Phone: (806) 796-1317
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DR. Benny Pothen Phillips, M.D. is a gynecologic oncology obstetrics gynecology in Lubbock, TX. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. DR. Benny Pothen Phillips, M.D. NPI is 1962497305. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3621 22ND ST
SUITE 100
LUBBOCK, TX
ZIP 79410-301
Phone: (806) 796-1317
Fax: (806) 796-0426

The enumeration date for this NPI number is 9/13/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	F2851	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C20487	MEDICARE UPIN	TEXAS
2	8062N0	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
3	84141N	OTHER	TEXAS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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