Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION
Active OrganizationSOUTHSIDE FOOT CLINIC OF SHREVEPORT, INC. A PROFESSIONAL CORPORATION is a Foot & Ankle Surgery Podiatrist organization located in SHREVEPORT, Louisiana. NPI 1033111240 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · SHREVEPORT, LA
Registration Details
- NPI Number
- 1033111240
- Provider Type
- Organization
- NPI Issued
- Jun 1, 2005 (21.246643739995 yrs)
- Last Updated
- Dec 29, 2025
- License
-
5B496 (LA)
Practice Information
- Address
-
9308 MANSFIELD RDSTE 100SHREVEPORT, LA, 711183134Browse LA providers · Browse ZIP 71118
- Phone
- 3186876266
- Fax
- 3186831023
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Organizations in SHREVEPORT, LA
| Name | NPI |
|---|---|
| ARK LA TEX FOOT & ANKLE SPECIALISTS, LLC | 1235168311 |
| GENTRY HAUGHTON LLC | 1245503119 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.