Organization
GREATER FOUNDATION FOOT CLINICS EAST TEXAS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN WADE SMITH DPM (OWNER)
(903) 593-0987
Entity
Organization
Contact information
Practice address
1761 TROUP HWY, TYLER, TX 75701-5869
(903) 593-0987
Mailing address
1761 TROUP HWY, TYLER, TX 75701-5869
(903) 593-0987
(903) 592-3309
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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