Organization
EAST TEXAS FOOT AND ANKLE CENTERS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES EDWARD KENT DPM (PODIATRIST)
(903) 939-3668
Entity
Organization
Contact information
Practice address
6603 OAK HILL BLVD, TYLER, TX 75703-0586
(903) 939-3668
(903) 939-0661
Mailing address
6603 OAK HILL BLVD, TYLER, TX 75703-0586
(903) 939-3668
(903) 939-0661
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1927
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8CV514
BCBS
TX
Enumeration date
03/31/2011
Last updated
10/09/2020
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