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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

NPI # 1871677203
LBN Legal business name FORT WORTH FOOT CLINIC
Authorized official VICKIE VIJAY KHANNA - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
TX License # TX1254
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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