Southside Foot Clinic of Shreveport, Inc a Professional Corporation
Southside Foot Clinic of Shreveport, Inc a Professional Corporation is a Foot & Ankle Surgery Podiatrist in Shreveport, Louisiana. Licensed in Louisiana. Registered with an NPI since 2005.
- Licensed in
- LA
- In the registry since
- 2005
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
9308 Mansfield Rd Ste 100Shreveport, LA 71118-3134
Phone: (318) 687-6266
Fax: (318) 683-1023
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence 5B496 (LA) |
|---|
Record details
| NPI number | 1033111240 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Richard Havens — Physician/Administrator · (318) 687-6266 |
| Other names | Southside Foot Clinic |
| NPI enumerated | June 1, 2005 |
| Last updated in NPPES | December 29, 2025 |
| Certification date | December 29, 2025 |
| Mailing address | 9308 Mansfield Rd, Ste 100, Shreveport, LA 71118-3134 |
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