Foot Clinic Of East Texas Pc

NPI 1184688566 - Podiatrist - 213E00000X

NPI Details
NPI 1184688566
Enumeration Date 04/13/2006
Last Updated 10/16/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERT ROBERT
Position DIRECTOR
Phone (903) 593-0987
Fax (903) 597-5618
Practice Location
321 S FANNIN AVE
TYLER TX, 75702-7321, US
Phone (903) 593-0987
Fax (903) 597-5618
Business Location
321 SOUTH FANNIN AVE
TYLER TX, 75702-7321, US
Phone (903) 593-0987
Fax (903) 592-3309
Toxanomy
Taxonomy Code 213E00000X
License State
License Number
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According to our database, Foot Clinic Of East Texas Pc NPI is 1184688566, taxonomy code is 213E00000X Foot Clinic Of East Texas Pc physically located at 321 S Fannin Ave, Tyler TX, 75702-7321. NPI Number 1033115704 has the healthcare provider type.

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1184688566 NPI number is provided on an as is basis without warranty of any kind. 1184688566 is maintained by the National Plan & Provider Enumeration System. The contents of Foot Clinic Of East Texas Pc are for informational purposes only.