Dr WALLACE LESLEY PHILLIPS is a male medical professional, specializing in Optometry. He graduated in 1980 from University Of Houston - College Of Optometry.
103 S E AVE
KERMIT
TX
797453606
Tel: 4325863435
| Npi | 1457444580 |
| Pac Id | 7113035817 |
| Professional Enrollment Id | I20101101000025 |
| Last Name | PHILLIPS |
| First Name | WALLACE |
| Middle Name | LESLEY |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1980 |
| Primary Specialty | OPTOMETRY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 103 S E AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | KERMIT |
| State | TX |
| Zip Code | 797453606 |
| Phone Number | 4325863435 |
| Hospital Affiliation Ccn 1 | |
| Hospital Affiliation Lbn 1 | |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | M |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.