Individual
GREGORY PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 S PLEASANT VALLEY RD APT 275, AUSTIN, TX 78741-1814
(512) 666-7408
Mailing address
1300 S PLEASANT VALLEY RD APT 275, AUSTIN, TX 78741-1814
(509) 432-6432
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
98159
TX
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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