Foot Clinic Of East Texas, Pc is a
Podiatrist based in Canton, Texas. Foot Clinic Of East Texas, Pc is licensed to practice in Texas (license number L1636) and their current practice location is
1108 S Buffalo St, Canton, Texas. It can be reached at their office (for appointments etc.) via phone at
(903) 593-0987.
NPI number for Foot Clinic Of East Texas, Pc is 1457681785 and their current mailing address is 1828 E Southeast Loop 323 Ste 111, Tyler, Texas. Foot Clinic Of East Texas, Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1457681785.
Healthcare Provider's Profile
| Full Name | Foot Clinic Of East Texas, Pc |
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| Type | Facility |
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| Speciality | Podiatrist |
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| Location | 1108 S Buffalo St, Canton, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457681785
- Provider Enumeration Date: 01/08/2010
- Last Update Date: 07/22/2024
Medical Identifiers
Medical identifiers for Foot Clinic Of East Texas, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457681785 | NPI | - | NPPES |
| 001752916 | Other | TX | UHC ID |
| 091707203 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | L1636 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Foot Clinic Of East Texas, Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Foot Clinic Of East Texas, Pc
1828 E Southeast Loop 323 Ste 111,
Tyler, TX 75701-8314
Ph: (903) 593-0987 | Foot Clinic Of East Texas, Pc
1108 S Buffalo St,
Canton, TX 75103-2304
Ph: (903) 593-0987 |
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