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Organization
FORT WORTH FOOT CLINIC
Active
Organization
FORT WORTH FOOT CLINIC
Active
Other names
Fort Worth Med Ex
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAY KHANNA DPM (DIRECTOR)
(817) 923-1953
Entity
Organization
Contact information
Practice address
4759 B SOUTH FREEWAY, FT WORTH, TX 76115
(817) 923-1953
(817) 923-9615
Mailing address
4759 B SOUTH FREEWAY, FT WORTH, TX 76115
(817) 923-1953
(817) 923-9615
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
TX
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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