Organization
EAST TEXAS HAPPY FEET FOOT CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY D BAKER DPM (OWNER)
(903) 399-5506
Entity
Organization
Contact information
Practice address
305 N 5TH ST, LONGVIEW, TX 75601-6518
(903) 399-5506
Mailing address
305 N 5TH ST, LONGVIEW, TX 75601-6518
(903) 399-5506
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
11/05/2013
Last updated
09/10/2014
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