Foot Clinic Of East Texas Pc is a health care provider in Tyler, TX. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||115 S Barron St, Rusk, TX 75785-1253, US|
|Practice Location Phone||903-593-0987|
|Practice Location Fax||903-597-5618|
|Legal Business Name||FOOT CLINIC OF EAST TEXAS PC|
|Enumeration Date ?||Jun 21, 2011|
|Last Update Date ?||May 10, 2012|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Podiatrist||Podiatric Medicine & Surgery Service Providers||Foot & Ankle Surgery||1636||Texas|
|Provider Id||Issuer State||Issuer Type||Issuer|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Foot Clinic Of East Texas Pc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||Dr. Robert D Phelps (DPM)|
|Authorized Official Title/Position||OWNER|
|Authorized Official Phone Number||903-593-0987|