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South Side Foot Clinic Inc.

Podiatrist in Fort Worth, TX · enumerated 2007 · authorized official Vickie Khanna, Secretary.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205980232

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Registry record

Entity type Organization (Type 2)
Legal business name South Side Foot Clinic Inc.
Other name <Unavail>
Practice address 4759 South Fwy, Suite B, Fort Worth, TX, 76115
Phone (817) 923-1953
Fax (817) 923-9615
Enumeration date Jan 23, 2007
Last updated in NPPES Oct 10, 2013

Taxonomy & classification

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Primary

Authorized official

Name Vickie Khanna
Title Secretary
Phone (817) 923-1953

Other identifiers

Identifier Type State Issuer
186646901 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is South Side Foot Clinic Inc.?
South Side Foot Clinic Inc. is registered in NPPES as a Podiatrist (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-10-10.