Organization Active NPI

Forest Clinica Familiar LLC

  • General Practice Physician
  • Dallas, TX
National Provider Identifier
1982036935
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
J3024 Issued in TX
Legal business name
FOREST CLINICA FAMILIAR LLC
Practice address
9550 Forest LN
Suite 606
Dallas, TX 75243-6176
Phone
(469) 464-6256
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Juan Luis Zamora, M.D
Title
Owner
Phone
(469) 464-6256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X J3024 TX Primary

Addresses

Primary practice location

9550 Forest LN
Suite 606
Dallas, TX 75243-6176

Mailing address

9550 Forest LN
Suite 606
Dallas, TX 75243-5905
Phone (469) 804-7929

National Provider Directory

National Provider Directory

Locations

9550 Forest Ln
Ste 606
Dallas, TX 75243
Phone (469) 804-7929

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1982036935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 FOREST LN",
            "address_2": "SUITE 606",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752435905",
            "telephone_number": "469-804-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 FOREST LN",
            "address_2": "SUITE 606",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436176",
            "telephone_number": "469-464-6256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST CLINICA FAMILIAR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-464-6256",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "J3024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.