Charles Dale Rhodus in Tyler - Podiatrist

Charles Dale Rhodus - NPI 1962495341

Charles Dale Rhodus is a Podiatrist in Tyler, Texas. Charles Dale Rhodus practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Charles Dale Rhodus is 1962495341. The last update date is 2012-06-21.

Charles Dale Rhodus's current location address is 5826 New Copeland Rd, Tyler, Texas. You can contact this provider via phone number 9035927200 and fax number 9035927211. The mailing address for Charles Dale Rhodus is 5826 New Copeland Rd, Tyler, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Dale Rhodus
Address 5826 New Copeland Rd, Tyler, Texas
Phone Number 9035927200
Fax Number 9035927211
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1962495341
Provider Enumeration Date 2005-08-31
Last Updated Date 2012-06-21

Provider Mailing Address Detail

Address 5826 New Copeland Rd
City Tyler
State Texas (TX)
Post Code 757036217
Phone Number 9035927200
Fax Number 9035927211

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 1375
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
161772848 TX COMMERCIAL
8X2110 TX BCBS PIN
P00383164 TX MEDICARE RAILROAD
46291302 TX --

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FAQs about Charles Dale Rhodus

What is the unique 10-digit identification code issued to Charles Dale Rhodus by the Centers for Medicare & Medicaid Services?

The Charles Dale Rhodus has been assigned the NPI (National Provider Identifier) 1962495341 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Charles Dale Rhodus is located?

The Charles Dale Rhodus is situated at the following address: 5826 New Copeland Rd, Tyler, TX, 757036217.

What is Charles Dale Rhodus's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Charles Dale Rhodus's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.

On what date was the 1962495341 assigned to Charles Dale Rhodus?

The Charles Dale Rhodus was issued its 1962495341 on 2005-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Charles Dale Rhodus, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Charles Dale Rhodus, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-21.

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