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FORT WORTH FOOT CLINIC NPI 1871677203


NPI Information

NPI: 1871677203
Provider Name: FORT WORTH FOOT CLINIC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
4759 B SOUTH FREEWAY
FORT WORTH, TX
ZIP 76115
Phone: (817) 923-1953
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FORT WORTH FOOT CLINIC is a podiatrist in Fort Worth, TX. The provider is 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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. FORT WORTH FOOT CLINIC NPI is 1871677203. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4759 B SOUTH FREEWAY
FORT WORTH, TX
ZIP 76115
Phone: (817) 923-1953
Fax: (817) 923-9615

The provider's authorized official is Vickie Vijay Khanna .
The authorized official title is Director and has the following contact phone number (817) 923-1953.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristTX1254TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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