Southside Foot Clinic
LBN: Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation
Southside Foot Clinic is an health care organization with primary practice located at 9308 Mansfield Rd Ste 100, Shreveport LA 71118-3134. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation can be contacted via phone (318) 687-6266, or through Havens, Richard Taylor via phone (318) 687-6266.
Contact Information
Primary practice address
9308 Mansfield Rd Ste 100
Shreveport LA 71118-3134
Phone: (318) 687-6266
Fax: (318) 683-1023
Website:
Authorized official contact:
Name: Havens, Richard Taylor Doctor of Podiatric Medicine (DPM)
Phone: (318) 687-6266
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 5B496 | Louisiana |
Profile Details
| NPI number | 1033111240 |
|---|---|
| LBN Legal business name | Southside Foot Clinic Of Shreveport, Inc. A Professional Corporation |
| DBA Doing business as | Southside Foot Clinic |
| Authorized official | Havens, Richard Taylor Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jun 8th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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