Fort Worth Foot Clinic in Ft Worth - Podiatrist
Fort Worth Foot Clinic - NPI 1871677203
Fort Worth Foot Clinic is a Podiatrist in Ft Worth, Texas. Fort Worth Foot Clinic practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Fort Worth Foot Clinic is 1871677203. The last update date is 2020-08-22.
Fort Worth Foot Clinic's current location address is 4759 B South Freeway, Ft Worth, Texas. You can contact this provider via phone number 8179231953 and fax number 8179239615. The mailing address for Fort Worth Foot Clinic is 4759 B South Freeway, Ft Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fort Worth Foot Clinic |
|---|---|
| Address | 4759 B South Freeway, Ft Worth, Texas |
| Phone Number | 8179231953 |
| Fax Number | 8179239615 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Khanna Vickie Vijay |
| Credentials | DPM |
| Telephone Number | 8179231953 |
NPI Number Detail
| NPI Number | 1871677203 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4759 B South Freeway |
|---|---|
| City | Ft Worth |
| State | Texas (TX) |
| Post Code | 76115 |
| Phone Number | 8179231953 |
| Fax Number | 8179239615 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | TX1254 |
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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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What is the unique 10-digit identifier code assigned to Fort Worth Foot Clinic by the Centers for Medicare & Medicaid Services?
The Fort Worth Foot Clinic has been issued the NPI (National Provider Identifier) 1871677203 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Fort Worth Foot Clinic's physical address?
The Fort Worth Foot Clinic is physically located at 4759 B South Freeway, in the city of Ft Worth, TX, with the postal code 76115.
What is the Fort Worth Foot Clinic's area of specialization and corresponding taxonomy classification?
The Fort Worth Foot Clinic's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871677203 to Fort Worth Foot Clinic?
The Centers for Medicare & Medicaid Services originally issued the 1871677203 to Fort Worth Foot Clinic on 2006-10-24.
When was the Fort Worth Foot Clinic's information last updated?
The Fort Worth Foot Clinic's information was last updated on 2020-08-22.