| Foot Clinic Of East Texas Pc | |
|
1828 E Southeast Loop 323 Ste 111, Tyler, TX 75701-8314 | |
| (903) 593-0987 | |
| (903) 592-3309 |
| Full Name | Foot Clinic Of East Texas Pc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1828 E Southeast Loop 323 Ste 111, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184688566 | NPI | - | NPPES |
| 091707203 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Provider Name | Robert D Phelps |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881689560 PECOS PAC ID: 4880680180 Enrollment ID: I20040422000558 |
| Provider Name | Kati E Waters |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1437693330 PECOS PAC ID: 6406191964 Enrollment ID: I20200826003103 |
| 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 1828 E Southeast Loop 323 Ste 111, Tyler, TX 75701-8314 Ph: (903) 593-0987 |
David A. Andreone, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7826 | |
Keith Robert Crandall, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1605 Stafford Dr, Tyler, TX 75703 Phone: 903-941-9247 Fax: 888-503-2519 | |
Thomas F Mccloskey Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1318 Clinic Dr, Tyler, TX 75701 Phone: 903-597-9622 Fax: 903-597-1210 | |
Dr. Brandon E. Crim, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 417 S Saunders Ave, Tyler, TX 75702 Phone: 903-596-9173 | |
David A. Andreone Dpm Pllc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 921 Shiloh Road, Ste C110, Tyler, TX 75703 Phone: 903-595-2858 Fax: 903-595-6970 | |
East Texas Podiatry Associates, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1028 E Idel, Suite A, Tyler, TX 75701 Phone: 903-593-1749 Fax: 903-593-1487 |