ANDERSON PODIATRY PLLC; NPI #1992075063

Contact Information

ANDERSON PODIATRY PLLC

1407 S FLEISHEL AVE STE 301
TYLER, TX 75701-3388

Phone: 903-593-6104
Fax: 903-597-8931
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ANDERSON PODIATRY PLLC

NPI Number 1992075063

LBN Legal business name ANDERSON PODIATRY PLLC

Authorized official EVANGELA ANDERSON - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/06/2012

Last updated 02/07/2012 - About 14 years ago

Identifiers

TX	License #	1534
TX	Medicaid	146745801

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ANDERSON PODIATRY PLLC

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for ANDERSON PODIATRY PLLC

Reviews for ANDERSON PODIATRY PLLC