Forest Lane Family Medicine, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

L5110 Issued in TX

Legal business name

FOREST LANE FAMILY MEDICINE, PA

Practice address

2601 Forest LN
Garland, TX 75042-6508

Phone

(972) 272-1632

Fax

(972) 272-5220

NPI assigned

Jan 22, 2009

Last updated

Jan 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Walter Rios, MDNPI 1205865722

Title

MD

Phone

(972) 272-1632

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter Rios, MD

  • Family Medicine Physician
  • Garland, TX
  • NPI 1205865722
  Authorized official Same address or phone

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422576000000",
    "number": "1851539209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 FOREST LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426508",
            "telephone_number": "972-272-1632",
            "fax_number": "972-272-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 FOREST LN",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426508",
            "telephone_number": "972-272-1632",
            "fax_number": "972-272-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST LANE FAMILY MEDICINE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2015-01-30",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "972-272-1632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "L5110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Calara Fong Suet Yuen, PT
• Susan Anne Fontenot, FNP-C
• Mercy Pauline Ford
• Rikal Charie Ford, NONE
• Rhonda Foreman
• Forest Medical Care, P.a
• Jessica Forster, PT, DPT
• Veronica Forsythe, MD
• Farrell David Fort, PHARM. D.
• Fortune Ezeoha and Linda Ezeoha (Praise Home Health Agency)

• Clinic/Center in Garland, TX
• Providers in Garland, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.