PHILLIP H SKINNER MD PA
Medical Practice at Main St, Fort Worth, TX

License number
Texas E7737
Category
Medical Practice
Type
Ophthalmology
Owner
Name: PHILLIP HOWARD SKINNER MD
Title: PRESIDENT
Phone: (817) 332-4363
Address
Address
1350 S Main St STE 110, Fort Worth, TX 76104
National Provider ID: 1699893040
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHILLIP H. SKINNER, M.D., PA

7900 Vis Rdg Dr S, Fort Worth, TX 76132

Status:
Inactive
Doing business as:
Phillip H Skinner MD<br>Phillip H. Skinner, M.D., PA
Registration:
Jul 21, 1981
State ID:
0080750703
Business type:
Professional Association
Medical Doctor, Principal, President , Treasurer , Director , Member , Secretary:
Phillip H. Skinner Medical Doctor, Principal, President , Treasurer , Director , Member , Secretary, inactive
Agent:
Phillip H Skinner,7900 Vis Rdg Dr S, Fort Worth, TX 76132 (Physical)
TIN:
32036044082

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