South Side Foot Clinic Inc. in Fort Worth - Podiatrist
South Side Foot Clinic Inc. - NPI 1205980232
South Side Foot Clinic Inc. is a Podiatrist in Fort Worth, Texas. South Side Foot Clinic Inc. practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for South Side Foot Clinic Inc. is 1205980232. The last update date is 2013-10-10.
South Side Foot Clinic Inc.'s current location address is 4759 South Fwy, Fort Worth, Texas. You can contact this provider via phone number 8179231953 and fax number 8179239615. The mailing address for South Side Foot Clinic Inc. is 4759 South Fwy, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Side Foot Clinic Inc. |
|---|---|
| Address | 4759 South Fwy, Fort Worth, Texas |
| Phone Number | 8179231953 |
| Fax Number | 8179239615 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY |
|---|---|
| Authorized Official Name | Khanna Vickie |
| Telephone Number | 8179231953 |
NPI Number Detail
| NPI Number | 1205980232 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2013-10-10 |
Provider Mailing Address Detail
| Address | 4759 South Fwy |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761153655 |
| Phone Number | 8179231953 |
| Fax Number | 8179239615 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 186646901 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to South Side Foot Clinic Inc. by the Centers for Medicare & Medicaid Services?
The South Side Foot Clinic Inc. has been issued the NPI (National Provider Identifier) 1205980232, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where South Side Foot Clinic Inc. is geographically located?
The South Side Foot Clinic Inc. is physically situated at the following location: 4759 South Fwy, Fort Worth, TX, 761153655.
What is South Side Foot Clinic Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for South Side Foot Clinic Inc. is Podiatrist, and the taxonomy code that categorizes this field of expertise is 213E00000X.
On what date did South Side Foot Clinic Inc. receive its 1205980232 assignment from the Centers for Medicare & Medicaid Services?
The South Side Foot Clinic Inc. was assigned its 1205980232 on 2007-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the South Side Foot Clinic Inc.'s details last updated?
The information pertaining to the South Side Foot Clinic Inc., including its address, specialty, and other details, was most recently updated on 2013-10-10.
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