FOOT CLINIC OF EAST TEXAS, PC (NPI# 1790015022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790015022 |
| Entity Type | Organization |
| Organization Name | FOOT CLINIC OF EAST TEXAS, PC |
| Practice Address |
2001 S Henderson Blvd Kilgore TX 75662-3556 |
| Mailing Address |
321 S Fannin Ave Tyler TX 75702-7321 |
| Practice Telephone | 9039846824 |
| Practice Fax Number | 9035975618 |
| Mailing Telephone | 9035930987 |
| Mailing Fax Number | 9035975618 |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2010-01-08 |
| Authorized Official Name | DR. ROBERT D PHELPS (OWNER) |
| Authorized Official Telephone | 9035930987 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | L1636 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 091707202 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932439262 | Foot Clinic of East Texas, PC | Podiatrist | 711 E Goode St, Quitman, TX 75783-1623 | 2010-01-08 |
| 1114257441 | Foot Clinic of East Texas, PC | Podiatrist | 612 Maryland Dr, Athens, TX 75751-3332 | 2010-01-08 |
| 1760712095 | Foot Clinic of East Texas, PC | Podiatrist | 1101 S Main St, Lindale, TX 75771-6266 | 2010-01-08 |
| 1457681785 | Foot Clinic of East Texas, PC | Podiatrist | 1108 S Buffalo St, Canton, TX 75103-2304 | 2010-01-08 |
| Street Address |
2001 S HENDERSON BLVD |
| City | KILGORE |
| State | TX |
| Zip Code | 75662-3556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346890621 | Linda Gail Watson | Technician | 190 Glendale St, Kilgore, TX 75662 | 2019-09-18 |
| 1174185151 | Jennifer Darlene Franks | Registered Nurse | 6144 Gateway Center Pmb # 320, Kilgore, TX 75662 | 2019-07-01 |
| 1215363312 | Kilgore Integrated Health Pllc | Chiropractor | 726 Us Highway 259 N, Kilgore, TX 75662 | 2013-09-20 |
| 1407172240 | Jeffrey Alan Davis | Specialist/Technologist | 300 N. Kilgore Street, Kilgore, TX 75662 | 2010-04-19 |
| 1396923777 | Rachel Thunder Rose Wyatt | Physical Therapist | 1200 Dudley Road, Kilgore, TX 75662 | 2008-02-07 |
| 1346313673 | Brookshire Grocery Company | Pharmacy | 747 Hwy 259 North, Attention Pharmacy Dept, Kilgore, TX 75662 | 2006-11-16 |
| 1417026451 | Jeffery John Pinkerton | Optometrist | 800 Highway 259 North, Kilgore, TX 75662 | 2006-11-06 |
| 1831205004 | Joseph Claude De Graffenried Jr. | Dentist | 238 Lawrence St, Kilgore, TX 75662 | 2006-08-21 |
| 1235159500 | Charles Robert Cottier | Chiropractor | 316 Henderson, Kilgome, TX 75662 | 2006-07-20 |
| 1346509494 | Kelton Hospice, Inc. | Hospice Care, Community Based | 1100 Stone Road, Suite 269, Kilgore, TX 75662 | 2012-05-10 |
| Find all providers in zip 75662 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396834 | Shine Foot and Ankle Center | Podiatrist | 11614 Fm 2244 Rd Ste 150, Austin, TX 78738-5471 | 2020-11-05 |
| 1740895911 | Royal Haven Medical | Podiatrist | 713 Lakeview Dr, Alvarado, TX 76009-2668 | 2020-09-14 |
| 1851924500 | Interventional Partners LLC | Podiatrist | 4708 Alliance Blvd Ste 475, Plano, TX 75093-5351 | 2020-02-20 |
| 1225688583 | Access Podiatry Center, LLC | Podiatrist | 2703 Stone Hedge, Eagle Pass, TX 78852 | 2019-09-18 |
| 1366091704 | Carrollton Podiatrist Pllc | Podiatrist | 3730 N Josey Ln Ste 120, Carrollton, TX 75007-2439 | 2019-09-09 |
| 1760030571 | Right Step Foot Clinic and Ankle Clinic, LLC | Podiatrist | 11507 S Highway 6 Ste C, Sugar Land, TX 77498-4933 | 2019-08-27 |
| 1225684392 | Podiatry Usa Corporation | Podiatrist | 2300 Sherbrooke Ln, Mckinney, TX 75070-4769 | 2019-08-14 |
| 1508422395 | Interventional Partners | Podiatrist | 3200 Olton Rd Ste C, Plainview, TX 79072-6653 | 2019-05-16 |
| 1194380097 | Interventional Partners LLC | Podiatrist | 5575 Warren Pkwy Ste 101, Frisco, TX 75034-4066 | 2019-05-06 |
| 1548825839 | Interventional Partners LLC | Podiatrist | 2150 N Josey Ln # 200b, Carrollton, TX 75006-2991 | 2019-05-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on FOOT CLINIC OF EAST TEXAS, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.