| Doctor Name: | MRS. LINDA GRACE PHELPS |
| NPI Number: | 1205800349 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHCNP |
| License Number: | 541232 |
| Business Practice Address: | 149 Hart St 82 Medical Group/credentials Sheppard Afb, TX - 763113482 |
| Business Phone Number: | 9406764786 |
| Business Fax Number: | |
| Mailing Address: | 1709 Quail Valley Rd, IOWA PARK |
| State: | TX |
| Postal Code: | 763673008 |
| Phone Number: | 9405920094 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | 541232 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |