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ANDERSON PODIATRY PLLC
NPI 1992075063
Podiatrist - Foot & Ankle Surgery in Tyler, TX

Active since January 06, 2012
1407 S FLEISHEL AVE STE 301, TYLER, TX 75701(903) 593-6104(903) 597-8931 Get Directions Write a Review

NPPES record last updated: February 7, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anderson Podiatry Pllc NPPES

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

ANDERSON PODIATRY PLLC (NPI 1992075063) is a healthcare organization registered as a foot & ankle surgery in Tyler, Texas and active in the NPI registry since January 2012. The organization lists Evangela Lashun Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1992075063
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NameANDERSON PODIATRY PLLC
Location Address1407 S FLEISHEL AVE STE 301Tyler, TX 75701-3388
Mailing Address1407 S Fleishel Ave Ste 301Tyler, TX 75701-3388 · (903) 593-6104 · Fax (903) 597-8931
Phone(903) 593-6104
Fax(903) 597-8931
Organization SubpartNo
Authorized OfficialEvangela Lashun AndersonOwner · (903) 593-6104
Enumeration DateJanuary 6, 2012
Last NPPES UpdateFebruary 7, 2012
✔ NPI 1992075063 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
License✔ Licensed in TX · 1534
1407 S FLEISHEL AVE STE 301, Tyler, TX 75701
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Other Identifiers 2

Medicaid146745801TX
Medicare UPINU85460TX

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

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 Anderson Podiatry PLLC's NPI number?

The NPI number for Anderson Podiatry PLLC is 1992075063. It was assigned to this organization in the NPPES registry on January 6, 2012.

Where is Anderson Podiatry PLLC located?

Anderson Podiatry PLLC is located at 1407 S Fleishel Ave Ste 301, Tyler, TX 75701. The listed phone number is (903) 593-6104.

What is Anderson Podiatry PLLC'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 Anderson Podiatry PLLC was last updated on February 7, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.