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FOOT CLINIC OF EAST TEXAS PC
NPI 1184688566
Podiatrist in Tyler, TX

Active since April 13, 2006
1828 E SOUTHEAST LOOP 323 STE 111, TYLER, TX 75701(903) 593-0987(903) 592-3309 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2024, Dec 3, 2020, Oct 17, 2018 (3 updates tracked since 2018).

About Foot Clinic Of East Texas Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOOT CLINIC OF EAST TEXAS PC (NPI 1184688566) is a healthcare organization registered as a podiatrist in Tyler, Texas and active in the NPI registry since April 2006. The organization maintains a secondary practice location in Canton and lists Robert Daniel Phelps, Owner/dpm, as its authorized official.

NPPES Registry Identity

NPI1184688566
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameFOOT CLINIC OF EAST TEXAS PC
Location Address1828 E SOUTHEAST LOOP 323 STE 111Tyler, TX 75701-8314
Mailing Address1828 E Southeast Loop 323 Ste 111Tyler, TX 75701-8314 · (903) 593-0987 · Fax (903) 592-3309
Phone(903) 593-0987
Fax(903) 592-3309
Organization SubpartNo
Authorized OfficialRobert Daniel PhelpsOwner/dpm · (903) 593-0987
Enumeration DateApril 13, 2006
Last NPPES UpdateMay 13, 20243 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1184688566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
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.
1828 E SOUTHEAST LOOP 323 STE 111, Tyler, TX 75701
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Secondary Practice Location 1

Location 11108 S Buffalo StCanton, TX 75103-2304 · Phone (903) 593-0987 · Fax (903) 592-3309

Other Identifiers 1

Medicaid091707203TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT DANIEL PHELPS DPM
Podiatrist
1828 E SOUTHEAST LOOP 323 STE 111
TYLER, TX 75701
Smith County (903) 593-0987

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Foot Clinic Of East Texas PC's NPI number?

The NPI number for Foot Clinic Of East Texas PC is 1184688566. It was assigned to this organization in the NPPES registry on April 13, 2006.

Where is Foot Clinic Of East Texas PC located?

Foot Clinic Of East Texas PC is located at 1828 E Southeast Loop 323 Ste 111, Tyler, TX 75701. The listed phone number is (903) 593-0987.

What is Foot Clinic Of East Texas PC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

What insurance does Foot Clinic Of East Texas PC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Foot Clinic Of East Texas PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Foot Clinic Of East Texas PC was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.