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Organization
FOOT SPECIALISTS OF TYLER, PA
Active
Organization
FOOT SPECIALISTS OF TYLER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES D RHODUS DPM (OWNER)
(903) 592-7200
Entity
Organization
Contact information
Practice address
649 S BROADWAY AVE, SUITE 2, TYLER, TX 75701-1677
(903) 592-7200
(903) 592-7211
Mailing address
649 S. BROADWAY AVE, SUITE 2, TYLER, TX 75701
(903) 592-7200
(903) 592-7211
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
L1375
TX
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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