Organization
ANDERSON PODIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVANGELA LASHUN ANDERSON DPM (OWNER)
(903) 593-6104
Entity
Organization
Contact information
Practice address
1407 S FLEISHEL AVE STE 301, TYLER, TX 75701-3388
(903) 593-6104
(903) 597-8931
Mailing address
1407 S FLEISHEL AVE STE 301, TYLER, TX 75701-3388
(903) 593-6104
(903) 597-8931
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1534
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146745801
—
TX
Enumeration date
01/06/2012
Last updated
02/07/2012
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