P Praxis·MD
● Active Type 2 · Organization

East Texas Podiatry Associates, P.c.

Podiatrist·Tyler, TX· NPI 1225137185 · Enumerated 2006 · 19 years on NPI
East Texas Podiatry Associates, P.c. is 1 of 1136 podiatrist organizations in Texas.
NPI age
19 years
Enumerated 2006-09-21
Primary specialty
Podiatrist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Boudreau
Owner
Last NPPES update
2009-03-03
Source: monthly bulk 2026-05

How this organization compares

Across 1136 active podiatrist providers in Texas.

NPI age
19 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
1028 E Idel, Suite A
Tyler, TX 75701
📞 9035931749fax 9035931487
Mailing address
1028 E Idel, Suite A
Tyler, TX 75701
📞 9035931749fax 9035931487

Authorized official

Robert A Boudreau, DPM
Owner
📞 9035931749

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Podiatrist Primary
    Definition to come...
    taxonomy 213ES0103X

Identifiers

TypeValueNotes
01 (TX) 480028507 RAILROAD MEDICARE
01 (TX) 5594780001 PALMETTO DME

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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