East Texas Podiatry Associates, P.C. in Tyler - Foot & Ankle Surgery
East Texas Podiatry Associates, P.C. - NPI 1225137185
East Texas Podiatry Associates, P.C. is a Foot & Ankle Surgery in Tyler, Texas. East Texas Podiatry Associates, P.C. practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for East Texas Podiatry Associates, P.C. is 1225137185. The last update date is 2009-03-03.
East Texas Podiatry Associates, P.C.'s current location address is 1028 E Idel, Tyler, Texas. You can contact this provider via phone number 9035931749 and fax number 9035931487. The mailing address for East Texas Podiatry Associates, P.C. is 1028 E Idel, Tyler, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Texas Podiatry Associates, P.C. |
|---|---|
| Address | 1028 E Idel, Tyler, Texas |
| Phone Number | 9035931749 |
| Fax Number | 9035931487 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Boudreau A Robert |
| Credentials | DPM |
| Telephone Number | 9035931749 |
NPI Number Detail
| NPI Number | 1225137185 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2009-03-03 |
Provider Mailing Address Detail
| Address | 1028 E Idel |
|---|---|
| City | Tyler |
| State | Texas (TX) |
| Post Code | 75701 |
| Phone Number | 9035931749 |
| Fax Number | 9035931487 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 480028507 | TX | RAILROAD MEDICARE | |
| 5594780001 | TX | PALMETTO DME |
Post Comment/ Review Below
What is the unique identification code assigned to East Texas Podiatry Associates, P.C. by the Centers for Medicare & Medicaid Services?
The East Texas Podiatry Associates, P.C. has been issued the NPI (National Provider Identifier) 1225137185. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where East Texas Podiatry Associates, P.C. is geographically located?
The East Texas Podiatry Associates, P.C. is physically situated at the following location: 1028 E Idel, Tyler, TX, 75701.
What is East Texas Podiatry Associates, P.C.'s area of expertise and its corresponding taxonomy classification?
The East Texas Podiatry Associates, P.C.'s field of specialization is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their areas of practice.
On what date did the East Texas Podiatry Associates, P.C. receive its 1225137185 assignment from the Centers for Medicare & Medicaid Services?
The East Texas Podiatry Associates, P.C. was assigned its 1225137185 by the Centers for Medicare & Medicaid Services on 2006-09-21.
As of what date was the information pertaining to East Texas Podiatry Associates, P.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to East Texas Podiatry Associates, P.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-03-03.