REALITY FOOT CARE LLC NPI 1447427562

NPI Information

REALITY FOOT CARE LLC is a clinic center in Fort Worth, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). REALITY FOOT CARE LLC NPI is 1447427562. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Healthy Feet Store.

The provider's business location address is:

2921 LACKLAND RD
SUITE 101
FORT WORTH, TX
ZIP 76116-173
Phone: (817) 377-3668
Fax: (817) 377-2646

The provider's authorized official is Teresa Ann Black .
The authorized official title is Owner and has the following contact phone number (817) 377-3668.

The enumeration date for this NPI number is 5/8/2008 and was last updated on 11/15/2011.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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