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Contact Information

FOOT CLINIC OF EAST TEXAS, PC
1108 S BUFFALO ST
CANTON, TX75103-2304
 Phone: 903-593-0987
 Fax: 903-592-3309
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOT CLINIC OF EAST TEXAS PC · (Female)

NPI # 1457681785
Status Active
Credentials
Entity Individual
Enumeration date 01/08/2010
Last updated 07/22/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # L1636
  • TX Medicaid 091707203
  • TX Other 001752916 UHC ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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