Phelps, Robert Daniel

Phelps, Robert Daniel is an individual health care provider with primary practice located at 1828 E Southeast Loop 323 Ste 111 , Tyler TX 75701-8314. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Phelps, Robert Daniel can be contacted via phone (903) 593-0987.

Contact Information

Primary practice address
1828 E Southeast Loop 323 Ste 111 Tyler TX 75701-8314
Phone: (903) 593-0987
Fax: (903) 592-3309
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1636 Texas

Profile Details

NPI number 1881689560
LBN Legal business name Phelps, Robert Daniel
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated May 13th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881689560 NPPES
Texas Other 1636 LICENSE
Texas MEDICAID 156579802 LICENSE
Texas Other P00040744 LICENSE

Popular Providers