Preston Forest Family Clinic, P.a.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

E2537 Issued in TX

Legal business name

PRESTON FOREST FAMILY CLINIC, P.A.

Practice address

11661 Preston Rd
Suite 124
Dallas, TX 75230-2745

Phone

(214) 368-6197

Fax

(214) 368-3804

NPI assigned

Feb 17, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Adriaan C Devries, M.D., PH.D.

Title

Physician/Owner

Phone

(214) 368-6197

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1083853832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11661 PRESTON RD",
            "address_2": "SUITE 124",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302745",
            "telephone_number": "214-368-6197",
            "fax_number": "214-368-3804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11661 PRESTON RD",
            "address_2": "SUITE 124",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302745",
            "telephone_number": "214-368-6197",
            "fax_number": "214-368-3804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON FOREST FAMILY CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ADRIAAN  C",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "214-368-6197",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "E2537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preston Campbell Dental
• Preston Commons Dental Care PLLC
• Preston Dental Associates, P.C.
• Preston Diagnostics LLC
• Preston Family Dentistry PLLC
• Preston Hollow Allergy, PLLC
• Preston Hollow Emergency Room
• Preston Hollow Health & Wellness, PLLC
• Preston Hollow Home Care Inc
• Preston Hollow Orthodontics

• Adult Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Adult Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.