Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

South Side Foot Clinic

Organization Durable Medical Equipment & Medical Supplies · NPI 1700014214

South Side Foot Clinic is a Durable Medical Equipment & Medical Supplies in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2009.

Licensed in
TX
In the registry since
2009

Practice location Address checks out

4759 S Fwy Ste B
Fort Worth, TX 76115-3655
Phone: (817) 923-1953
Fax: (817) 923-9615
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X (TX)

Record details

NPI number1700014214
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vickie Khanna — President · (817) 923-1953
NPI enumeratedJune 24, 2009
Last updated in NPPESJune 24, 2009
Mailing address4759 South Fwy Ste B, Fort Worth, TX 76115-3655

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