# DR. WADE PHELPS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346414174
- **Authorized official:** DR. WADE PHELPS (OWNER)
- **Authorized official phone:** (830) 583-9891

## Contact information

- **Practice address:** 330 W LIVEOAK ST, KENEDY, TX 78119-2326
- **Practice address phone:** (830) 583-9891
- **Mailing address:** 330 W LIVEOAK ST, KENEDY, TX 78119-2326

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/14/2008
- **Last updated:** 04/14/2008