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EAST TEXAS PODIATRY ASSOCIATES, P.C.
NPI 1225137185
Podiatrist - Foot & Ankle Surgery in Tyler, TX

Active since September 21, 2006
1028 E IDEL, SUITE A, TYLER, TX 75701(903) 593-1749(903) 593-1487 Get Directions Write a Review

NPPES record last updated: March 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Texas Podiatry Associates, P.c. NPPES

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

EAST TEXAS PODIATRY ASSOCIATES, P.C. (NPI 1225137185) is a healthcare organization registered as a foot & ankle surgery in Tyler, Texas and active in the NPI registry since September 2006. The organization lists Robert A Boudreau, Owner, as its authorized official.

NPPES Registry Identity

NPI1225137185
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameEAST TEXAS PODIATRY ASSOCIATES, P.C.
Location Address1028 E IDEL, SUITE ATyler, TX 75701
Mailing Address1028 E Idel, Suite ATyler, TX 75701 · (903) 593-1749 · Fax (903) 593-1487
Phone(903) 593-1749
Fax(903) 593-1487
Organization SubpartNo
Authorized OfficialRobert A BoudreauOwner · (903) 593-1749
Enumeration DateSeptember 21, 2006
Last NPPES UpdateMarch 3, 2009
✔ NPI 1225137185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
1028 E IDEL, Tyler, TX 75701
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Other Identifiers 6

Other5594780001TX · Palmetto Dme
Medicare PIN480028507TX
Medicare PIN00859KTX
Other480028507TX · Railroad Medicare
Medicare ID-Type Unspecified00859KTX
Medicare NSC5594780001TX

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

ROBERT A BOUDREAU DPM
Podiatrist (Foot & Ankle Surgery)
1028 E IDEL, SUITE A
TYLER, TX 75701
Smith County (903) 593-1749

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 East Texas Podiatry Associates, P.C.'s NPI number?

The NPI number for East Texas Podiatry Associates, P.C. is 1225137185. It was assigned to this organization in the NPPES registry on September 21, 2006.

Where is East Texas Podiatry Associates, P.C. located?

East Texas Podiatry Associates, P.C. is located at 1028 E Idel Suite A, Tyler, TX 75701. The listed phone number is (903) 593-1749.

What is East Texas Podiatry Associates, P.C.'s specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for East Texas Podiatry Associates, P.C. was last updated on March 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.