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FOOT CLINIC OF EAST TEXAS, PC
NPI 1457681785
Podiatrist in Canton, TX

Active since January 08, 2010
1108 S BUFFALO ST, CANTON, TX 75103(903) 593-0987(903) 592-3309 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2024, Dec 3, 2020 (2 updates tracked since 2020).

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 1457681785) is a healthcare organization registered as a podiatrist in Canton, Texas and active in the NPI registry since January 2010. The organization lists Robert D Phelps, Owner/dpm, as its authorized official.

NPPES Registry Identity

NPI1457681785
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameFOOT CLINIC OF EAST TEXAS, PC
Location Address1108 S BUFFALO STCanton, TX 75103-2304
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 D PhelpsOwner/dpm · (903) 593-0987
Enumeration DateJanuary 8, 2010
Last NPPES UpdateJuly 22, 20242 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1457681785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in TX · L1636
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.
1108 S BUFFALO ST, Canton, TX 75103
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Other Identifiers 2

Other001752916TX · Uhc Id
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

Other Providers at the Same Location NPPES 5

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

DR. JIMMY W DAILEY MD
Family Medicine
1108 S BUFFALO ST
CANTON, TX 75103
Van Zandt County (903) 567-1910
ANGELA C WHITTON PA
Physician Assistant (Medical)
1108 S BUFFALO ST
CANTON, TX 75103
Van Zandt County (903) 567-1910
SLOAN HILL FNP-C
Nurse Practitioner (Family)
1108 S BUFFALO ST
CANTON, TX 75103
Van Zandt County (903) 567-1910
DAILEY MEDICAL CLINIC
Family Medicine
1108 S BUFFALO ST
CANTON, TX 75103
Van Zandt County (903) 567-1910
DAILEY MEDICAL CLINIC
Family Medicine
1108 S BUFFALO ST
CANTON, TX 75103
Van Zandt County (903) 567-1910

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 1457681785. It was assigned to this organization in the NPPES registry on January 8, 2010.

Where is Foot Clinic Of East Texas, PC located?

Foot Clinic Of East Texas, PC is located at 1108 S Buffalo St, Canton, TX 75103. 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.

When was this NPI record last updated?

The NPPES record for Foot Clinic Of East Texas, PC was last updated on July 22, 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.