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FOREST LANE FAMILY MEDICINE PA NPI 1851539209


NPI Information

NPI: 1851539209
Provider Name: FOREST LANE FAMILY MEDICINE, PA
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 45D1096595

Address:
2601 FOREST LN
GARLAND, TX
ZIP 75042
Phone: (972) 272-1632
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FOREST LANE FAMILY MEDICINE, PA is a clinic center in Garland, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). FOREST LANE FAMILY MEDICINE, PA NPI is 1851539209. The provider is registered as an organization entity type.

The provider's business location address is:

2601 FOREST LN
GARLAND, TX
ZIP 75042-508
Phone: (972) 272-1632
Fax: (972) 272-5220

The provider's authorized official is Walter Rios .
The authorized official title is Md and has the following contact phone number (972) 272-1632.

The CLIA number assigned to this NPI record is 45D1096595 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2009 and was last updated on 1/30/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterL5110TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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