# FOOT SPECIALISTS OF TYLER, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114109170
- **Authorized official:** DR. CHARLES D RHODUS DPM (OWNER)
- **Authorized official phone:** (903) 592-7200

## Contact information

- **Practice address:** 649 S BROADWAY AVE, SUITE 2, TYLER, TX 75701-1677
- **Practice address phone:** (903) 592-7200
- **Practice address fax:** (903) 592-7211
- **Mailing address:** 649 S. BROADWAY AVE, SUITE 2, TYLER, TX 75701
- **Mailing address phone:** (903) 592-7200
- **Mailing address fax:** (903) 592-7211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | L1375 | TX | Yes |

## Other

- **Enumeration date:** 12/03/2007
- **Last updated:** 12/03/2007