Individual
DR. CYNTHIA G PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1321 NORTH LOOP E, 100A, SAN ANTONIO, TX 78232
(210) 782-8205
Mailing address
1321 N LOOP 1604 E STE 101, SAN ANTONIO, TX 78232-1438
(210) 782-8205
(210) 545-2147
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019490403
—
TX
01
—
8F10046
MEDICARE
TX
Enumeration date
07/19/2006
Last updated
06/08/2023
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