| Dr. Wade Phelps | |
|
330 W Liveoak St Kenedy TX 78119-2326 | |
| (830) 583-9891 | |
| Not Available |
| Full Name | Dr. Wade Phelps |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 330 W Liveoak St, Kenedy, Texas |
| Authorized Official Name and Position | Wade Phelps (OWNER) |
| Authorized Official Contact | 8305839891 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Wade Phelps 330 W Liveoak St Kenedy TX 78119-2326 Ph: () - | Dr. Wade Phelps 330 W Liveoak St Kenedy TX 78119-2326 Ph: (830) 583-9891 |
| NPI Number | 1346414174 |
|---|---|
| Provider Enumeration Date | 04/14/2008 |
| Last Update Date | 04/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346414174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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