South Side Foot Clinic
Durable Medical Equipment & Medical Supplies
4759 South Fwy Ste B, Fort Worth
Texas, 76115-3655
817-923-1953 817-923-9615
South Side Foot Clinic is a Durable Medical Equipment & Medical Supplies in Fort Worth, Texas. It is located at 4759 South Fwy Ste B, Fort Worth and it's customer support contact number is 817-923-1953. The authorized person of South Side Foot Clinic is Dr. Vickie Khanna, DPM who is President of this DME and his contact number is 817-923-1953.
South Side Foot Clinic is 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.
DME Supplier Details:
South Side Foot Clinic type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | South Side Foot Clinic |
| Type: | Durable Medical Equipment & Medical Supplies |
| Location: | 4759 South Fwy Ste B, Fort Worth,
Texas, 76115-3655 |
| Phone: | 817-923-1953 |
| Fax: | 817-923-9615 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Vickie Khanna |
| Credentials: | DPM |
| Position: | President |
| Contact Number: | 817-923-1953 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1700014214 |
| NPI Enumeration Date: | 24 Jun, 2009 |
| NPI Last Update On: | 24 Jun, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Side Foot Clinic are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 186646901 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 4759 South Fwy Ste B,
Fort Worth, Texas |
| Zip: | 76115-3655 |
| Phone Number: | 817-923-1953 |
| Fax Number: | 817-923-9615 |
Patients can reach South Side Foot Clinic at
4759 South Fwy Ste B, Fort Worth, Texas or can
call on customer care at 817-923-1953.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.