Individual
JOHN YANCEY PHELPS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-2222
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2022-01105
NC
207V00000X
Obstetrics & Gynecology Physician
J1351
TX
207VE0102X
Reproductive Endocrinology Physician
J1351
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141264501
—
TX
01
—
160051779
RAILROAD MEDICARE
TX
01
—
81-3419791
EMPLOYER TAX ID
NV
Enumeration date
12/14/2006
Last updated
02/28/2024
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