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Contact Information

FORT WORTH FOOT CLINIC
4759 B SOUTH FREEWAY
FORT WORTH, TX76115
 Phone: 817-923-1953
 Fax: 817-923-9615
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FORT WORTH FOOT CLINIC · (Female)

NPI # 1871677203
Status Active
Credentials
Entity Individual
Enumeration date 10/24/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # TX1254
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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