FORT WORTH FOOT CLINIC (NPI# 1043394497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043394497 |
| Entity Type | Organization |
| Organization Name | FORT WORTH FOOT CLINIC |
| Other Organization Name | FORT WORTH MED EX |
| Practice Address |
4759 B South Freeway Ft Worth TX 76115 |
| Practice Telephone | 8179231953 |
| Practice Fax Number | 8179239615 |
| Mailing Telephone | 8179231953 |
| Mailing Fax Number | 8179239615 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. VIJAY KHANNA (DIRECTOR) |
| Authorized Official Telephone | 8179231953 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | TX | Suppliers |
| Other Name | Type Code |
|---|---|
| Fort Worth Med Ex | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871677203 | Fort Worth Foot Clinic | Podiatrist | 4759 B South Freeway, Fort Worth, TX 76115 | 2006-10-24 |
| Street Address |
4759 B SOUTH FREEWAY |
| City | FT WORTH |
| State | TX |
| Zip Code | 76115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548369200 | Vijay Khanna | Podiatrist | 4759 B South Freeway, Ft Worth, TX 76115 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811400047 | Christine Vera Varela | Nurse Practitioner | Clinicas Mi Doctor, 4200 S Freeway Ste 106, Fort Worth, TX 76115 | 2017-11-09 |
| 1376081752 | Cheryl D. Mitchell | Nurse Practitioner | 11803 S. Freeway, Ste. 311, Fort Worth, TX 76115 | 2017-02-06 |
| 1508097858 | Misti Lynne Poulos | Massage Therapist | 4534 Stanley Ave, #361, Fort Worth, TX 76115 | 2009-08-04 |
| 1609015312 | Sirisha Bheemaneni | Internal Medicine | 11801 S Frwy, Fort Worth, TX 76115 | 2009-02-19 |
| 1639378292 | Jeffrey J. Raymond | Physician Assistant | 544 West Seminary Dr, Fort Worth, TX 76115 | 2007-07-13 |
| 1336367952 | Luis Sierra-nieves | Physician Assistant | 544 West Seminary Drive, Fort Worth, TX 76115 | 2007-04-20 |
| 1396861209 | Remedios R Cabansag | Obstetrics & Gynecology | 11803 So Freewax, Suite 254, Fort Worth, TX 76115 | 2007-03-22 |
| 1073602611 | Courage Rehab Clinic | Clinic/Center | 1670 North Hampton Road, Suite 110, Desoto, TX 76115 | 2006-10-12 |
| 1225045164 | Allan M Wallace | Optometrist | 11803 South Frwy, Suite 114, Fort Worth, TX 76115 | 2006-08-02 |
| 1588684583 | John Lawrence Moses | Pediatrics | 11803 South Freeway #203, Fort Worth, TX 76115 | 2006-07-20 |
| Find all providers in zip 76115 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295378958 | Kalos Health Services | Durable Medical Equipment & Medical Supplies | 1000 Forest Park Blvd Ste 401, Ft Worth, TX 76110-1182 | 2019-10-24 |
| 1073071189 | Mms Equipment of Dallas West LLC | Durable Medical Equipment & Medical Supplies | 523 S Henderson St, Ft Worth, TX 76104-2109 | 2019-03-07 |
| 1184032955 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 2245 Jacksboro Hwy, Ft Worth, TX 76114-2319 | 2014-07-24 |
| 1861813537 | E Scooters To Go LLC | Durable Medical Equipment & Medical Supplies | 3301 S Grove St, Ft Worth, TX 76110-4306 | 2013-12-26 |
| 1033249040 | Dme Scooters and More Inc. | Durable Medical Equipment & Medical Supplies | 100 W Rosedale St, Ft Worth, TX 76104-4852 | 2007-03-07 |
| 1831239953 | Dme Supply | Durable Medical Equipment & Medical Supplies | 4255 Bryant Irvin Rd Ste 103, Ft Worth, TX 76109-4284 | 2007-02-07 |
| 1295808723 | Kroger Texas L P | Durable Medical Equipment & Medical Supplies | 3510 Altamesa Blvd, Ft Worth, TX 76133-5602 | 2006-11-15 |
| 1013015262 | I & N Optical, Inc | Durable Medical Equipment & Medical Supplies | 800 E Seminary Dr, Ft Worth, TX 76115-2732 | 2006-09-20 |
| 1063519569 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2706 Jacksboro Hwy, Ft Worth, TX 76114-1945 | 2006-09-20 |
| 1033217195 | I & N Optical, Inc. | Durable Medical Equipment & Medical Supplies | 6813 Green Oaks Rd, Ft Worth, TX 76116-1713 | 2006-09-20 |
| Find all providers in FT WORTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.