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Organization
FOOT CLINIC OF EAST TEXAS PC
Active
Organization
FOOT CLINIC OF EAST TEXAS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT DANIEL PHELPS DPM (OWNER/DPM)
(903) 593-0987
Entity
Organization
Contact information
Practice address
1828 E SOUTHEAST LOOP 323 STE 111, TYLER, TX 75701-8314
(903) 593-0987
(903) 592-3309
Mailing address
1828 E SOUTHEAST LOOP 323 STE 111, TYLER, TX 75701-8314
(903) 593-0987
(903) 592-3309
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091707203
—
TX
Enumeration date
04/13/2006
Last updated
05/13/2024
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