Provider Demographics
NPI:1417953241
Name:GEE, PHYLLIS J (MD)
Entity Type:Individual
Prefix:DR
First Name:PHYLLIS
Middle Name:J
Last Name:GEE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:555 REPUBLIC DR
Mailing Address - Street 2:SUITE #460
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5481
Mailing Address - Country:US
Mailing Address - Phone:972-644-2819
Mailing Address - Fax:972-680-2949
Practice Address - Street 1:4401 COIT RD
Practice Address - Street 2:SUITE 205
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-0500
Practice Address - Country:US
Practice Address - Phone:972-377-6553
Practice Address - Fax:972-377-6453
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2016-09-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXH1583207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX097154102Medicaid
TXH1583OtherSTATE LICENSE NUMBER
TXE76911Medicare UPIN
TX00A03GMedicare ID - Type UnspecifiedMEDICARE