Individual
MR. JEFFREY B PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8801 N TARRANT PKWY, NORTH RICHLAND HILLS, TX 76182-8461
(817) 616-0700
(817) 616-0708
Mailing address
8801 N TARRANT PKWY, NORTH RICHLAND HILLS, TX 76182-8461
(817) 676-0700
(817) 616-0708
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
L4093
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L4093
TX LICENSE NUMBER
TX
Enumeration date
05/20/2006
Last updated
01/10/2012
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