Phelps, Charles R

Phelps, Charles R is an individual health care provider with primary practice located at 5016 S Us Hwy 75 Radiology Department, Denison TX 75020-4584. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Phelps, Charles R can be contacted via phone (903) 892-1131.

Contact Information

Primary practice address
5016 S Us Hwy 75 Radiology Department Denison TX 75020-4584
Phone: (903) 892-1131
Fax: (903) 327-8023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X F7884 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X F7884 Texas

Profile Details

NPI number 1932186152
LBN Legal business name Phelps, Charles R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Sep 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932186152 NPPES
Texas MEDICAID 104802702

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