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Anderson Podiatry Pllc
Foot & Ankle Surgery Podiatrist in Tyler, Texas
NPI 1992075063

Anderson Podiatry Pllc is a Foot & Ankle Surgery Podiatrist based in Tyler, TX and is specialized in Foot & Ankle Surgery. Anderson Podiatry Pllc practices in Tyler, TX. The NPI Number for Anderson Podiatry Pllc is 1992075063 and holds a License No. 1534 (Texas).

The current practice location address for Anderson Podiatry Pllc is 1407 S Fleishel Ave Ste 301, Tyler, TX and can be reached out via phone at 903-593-6104 and via fax at 903-597-8931.

Location: 1407 S Fleishel Ave Ste 301, Tyler, TX, 75701-3388
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992075063
Provider Name
Anderson Podiatry Pllc
Credential
Provider Entity Type
Organization
Address
1407 S Fleishel Ave Ste 301, Tyler, TX, 75701-3388
Phone Number
903-593-6104
Fax Number
903-597-8931
Provider Enumeration Date
01/06/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
146745801 05 TX
institution
Provider Business Practice Location Address Details
Address
1407 S Fleishel Ave Ste 301
City
Tyler
State
Texas
Zip
75701-3388
Phone Number
903-593-6104
Fax Number
903-597-8931
person
Provider Business Mailing Address Details
Address
1407 S Fleishel Ave Ste 301
City
Tyler
State
Texas
Zip
75701-3388
Phone Number
903-593-6104
Fax Number
903-597-8931
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
1534 (Texas)
Definition
Definition to come...
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