Individual
TIMOTHY NICHOLAS PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 GASTON AVE, DALLAS, TX 75246-2017
(214) 820-2361
Mailing address
401 S WINDOMERE AVE, DALLAS, TX 75208-5823
(917) 399-6697
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R0641
TX
Other
Enumeration date
04/27/2015
Last updated
05/14/2021
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