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Individual
DR. ROBERT DANIEL PHELPS
Active
Individual
DR. ROBERT DANIEL PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1636
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156579802
—
TX
01
—
1636
LICENSE
TX
01
—
P00040744
MEDICARE RAILROAD
TX
Enumeration date
09/19/2005
Last updated
05/13/2024
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