Provider Demographics
NPI:1235355637
Name:CHEUNG-PHILLIPS, ESTHER JORDAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:JORDAN
Last Name:CHEUNG-PHILLIPS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6611 RIVER PLACE BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78730-1162
Mailing Address - Country:US
Mailing Address - Phone:512-677-6368
Mailing Address - Fax:512-687-1477
Practice Address - Street 1:6611 RIVER PLACE BLVD # 301
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78730-1162
Practice Address - Country:US
Practice Address - Phone:512-677-6368
Practice Address - Fax:512-687-1477
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN4984207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX271158YN84OtherMEDICARE