institution
East Texas Podiatry Associates, P.c.
Foot & Ankle Surgery Podiatrist in Tyler, Texas
NPI 1225137185

East Texas Podiatry Associates, P.c. is a Foot & Ankle Surgery Podiatrist based in Tyler, TX and is specialized in Foot & Ankle Surgery. East Texas Podiatry Associates, P.c. practices in Tyler, TX. The NPI Number for East Texas Podiatry Associates, P.c. is 1225137185 and holds a License No. (Texas).

The current practice location address for East Texas Podiatry Associates, P.c. is 1028 E Idel, Tyler, TX and can be reached out via phone at 903-593-1749 and via fax at 903-593-1487. You can also correspond with East Texas Podiatry Associates, P.c. through the mailing address at 1028 E IDEL, TYLER, TX - 75701 (mailing address contact number: 903-593-1749).

Location: 1028 E Idel, Tyler, TX, 75701
institution
Provider Profile Details
NPI Number
1225137185
Provider Name
East Texas Podiatry Associates, P.c.
Credential
Provider Entity Type
Organization
Address
1028 E Idel, Tyler, TX, 75701
Phone Number
903-593-1749
Fax Number
903-593-1487
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
480028507 01 TX RAILROAD MEDICARE
5594780001 01 TX PALMETTO DME
institution
Provider Business Practice Location Address Details
Address
1028 E Idel
City
State
Zip
75701
Phone Number
903-593-1749
Fax Number
903-593-1487
person
Provider Business Mailing Address Details
Address
1028 E Idel
City
State
Zip
75701
Phone Number
903-593-1749
Fax Number
903-593-1487
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
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Definition
Definition to come...
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