Forest Family Clinic, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FOREST FAMILY CLINIC, LLC

Practice address

9550 Forest LN Ste 606
Dallas, TX 75243-6176

Phone

(469) 804-7929

Fax

(469) 804-7930

NPI assigned

May 18, 2020

Organization subpart

No

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

Authorized official

Name

Victoria Rodriguez

Title

Office Manager

Phone

(469) 804-7929

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1245853811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 FOREST LN STE 606",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435905",
            "telephone_number": "469-804-7929",
            "fax_number": "469-804-7930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 FOREST LN STE 606",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436176",
            "telephone_number": "469-804-7929",
            "fax_number": "469-804-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-18",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "469-804-7929"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Foresman, PT, DPT
• Forest Clinica Familiar LLC
• Forest Clinica Familiar, LLC
• Forest Drug Store LLC
• Forest Eye
• Forest Injury and Rehab Center, Inc. (DFW Injury Clinic)
• Forest Lane Imaging Partners
• Forest Lane Pediatrics
• Forest Park Anesthesia, PA
• Forest Park Medical Center LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.