Foot Clinic of East Texas PC
NPI 1184688566ActiveOrganization· Podiatrist· Tyler, TX
Podiatrist in Tyler, Texas, registered in NPPES in April 2006. The authorized official on file is Robert Daniel Phelps, DPM, Owner/Dpm. Enrolled in Medicare as dme supplier - physician - podiatry and part b supplier - clinic/group practice.
Overview
| NPI | 1184688566 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 13, 2006 |
| Last updated in NPPES | May 13, 2024 |
| Certified by provider | May 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Podiatry (TX); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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