Anderson Podiatry Pllc

LBN: Anderson Podiatry Pllc
Anderson Podiatry Pllc is an health care organization with primary practice located at 1407 S Fleishel Ave Ste 301 , Tyler TX 75701-3388. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Anderson Podiatry Pllc can be contacted via phone (903) 593-6104, or through Anderson, Evangela Lashun via phone (903) 593-6104.

Contact Information

Primary practice address
1407 S Fleishel Ave Ste 301 Tyler TX 75701-3388
Phone: (903) 593-6104
Fax: (903) 597-8931
Website:
Map and Directions
Authorized official contact:
Name: Anderson, Evangela Lashun Doctor of Podiatric Medicine (DPM)
Phone: (903) 593-6104

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1534 Texas

Profile Details

NPI number 1992075063
LBN Legal business name Anderson Podiatry Pllc
DBA Doing business as
Authorized official Anderson, Evangela Lashun Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2012
Last updated Feb 7th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992075063 NPPES
Texas MEDICAID 146745801

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