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

South Side Foot Clinic Inc

Organization Podiatrist · NPI 1205980232

South Side Foot Clinic Inc provides Podiatrist services in Fort Worth, Texas. Registered with an NPI since 2007.

In the registry since
2007
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

4759 S Fwy Ste B
Fort Worth, TX 76115-3655 Not confirmed with CMS for 12 years — call before visiting
Phone: (817) 923-1953
Fax: (817) 923-9615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X

Record details

NPI number1205980232
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vickie Khanna — Secretary · (817) 923-1953
Other names South Side Med Ex
NPI enumeratedJanuary 23, 2007
Last updated in NPPESOctober 10, 2013
Mailing address4759 South Fwy, Suite B, Fort Worth, TX 76115-3655

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