| South Side Med Ex | |
|
4759 South Fwy, Suite B, Fort Worth, TX 76115-3655 | |
| (817) 923-1953 | |
| (817) 923-9615 |
| Full Name | South Side Med Ex |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 4759 South Fwy, Fort Worth, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205980232 | NPI | - | NPPES |
| 186646901 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| South Side Med Ex 4759 South Fwy, Suite B, Fort Worth, TX 76115-3655 Ph: (817) 923-1953 | South Side Med Ex 4759 South Fwy, Suite B, Fort Worth, TX 76115-3655 Ph: (817) 923-1953 |
Travis A Motley, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 800 5th Ave Ste 400, Fort Worth, TX 76104 Phone: 817-702-9100 Fax: 817-882-9242 | |
Kenneth Lynn James, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1712 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-877-5781 Fax: 817-877-5782 | |
Dr. Moody Mankerious, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8751 Camp Bowie West Blvd Ste 123, Fort Worth, TX 76116 Phone: 817-494-0566 Fax: 949-404-6277 | |
Mark S Lisch, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 6816 Shadow Creek Ct, Fort Worth, TX 76132 Phone: 832-368-6841 | |
Kevin D. Rhodes, Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 750 North Fwy, Fort Worth, TX 76102 Phone: 817-391-0130 Fax: 817-391-0136 | |
Brian B Carpenter, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 855 Montgomery St, Fort Worth, TX 76107 Phone: 817-735-2900 | |
Dr. Rona Wai Yin Law, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 923 College Ave Ste 101, Fort Worth, TX 76104 Phone: 817-697-4038 Fax: 877-409-3962 |