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1528445764
TIMOTHY NICHOLAS PHELPS
DALLAS, TX
NPI
1528445764
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX R0641)
Enumeration Date
2015-04-27
Last Update Date
2021-05-14
Business Address
TIMOTHY NICHOLAS PHELPS
3500 GASTON AVE
DALLAS, TX 75246-2017
Phone number: 214-820-2361
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Mailing Address
TIMOTHY NICHOLAS PHELPS
401 S WINDOMERE AVE
DALLAS, TX 75208-5823
Phone number: 917-399-6697
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