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

Southside Foot Clinic of Shreveport Inc a Professional Corporation

Organization Ambulatory Surgical Clinic/Center · NPI 1245215706

Southside Foot Clinic of Shreveport Inc a Professional Corporation is an Ambulatory Surgical Clinic/Center 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.

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Practice location Address checks out

9308 Mansfield Rd Ste 300
Shreveport, LA 71118-3134
Phone: (318) 687-6266
Fax: (318) 683-1023
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence 33 (LA)

Record details

NPI number1245215706
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthside Foot Clinic of Shreveport Inc a Professional Corporation
Authorized official Richard Havens — Administrator/Physician · (318) 687-6266
Other names The Foot Surgery Center Of Shreveport
NPI enumeratedDecember 7, 2005
Last updated in NPPESDecember 29, 2025
Certification dateDecember 29, 2025
Mailing address9308 Mansfield Rd, Suite 300, Shreveport, LA 71118-3134

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