East Texas Podiatry Associates, P.C.
LBN: East Texas Podiatry Associates, P.C.
East Texas Podiatry Associates, P.C. is an health care organization with primary practice located at 1028 E Idel Suite A, Tyler TX 75701. 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.
East Texas Podiatry Associates, P.C. can be contacted via phone (903) 593-1749, or through Boudreau, Robert A via phone (903) 593-1749.
Contact Information
Primary practice address
1028 E Idel Suite A
Tyler TX 75701
Phone: (903) 593-1749
Fax: (903) 593-1487
Website:
Authorized official contact:
Name: Boudreau, Robert A Doctor of Podiatric Medicine (DPM)
Phone: (903) 593-1749
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X |
Profile Details
| NPI number | 1225137185 |
|---|---|
| LBN Legal business name | East Texas Podiatry Associates, P.C. |
| DBA Doing business as | |
| Authorized official | Boudreau, Robert A Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Mar 3rd, 2009 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225137185 | NPPES |
| Texas | Other | 480028507 | RAILROAD MEDICARE |
| Texas | Other | 5594780001 | RAILROAD MEDICARE |
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