FOREST HILL MEDICAL CLINIC PA INC NPI 1467781138

NPI Information

NPI: 1467781138
Provider Name: FOREST HILL MEDICAL CLINIC PA INC

Former Legal Business Name: FOREST HILL MEDICAL CLINIC PA

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2035096

Address:
6619 FOREST HILL DR
SUITE 30
FOREST HILL, TX
ZIP 76140
Phone: (817) 563-6985
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FOREST HILL MEDICAL CLINIC PA INC is a primary care clinic center in Forest Hill, TX. FOREST HILL MEDICAL CLINIC PA INC NPI is 1467781138. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Forest Hill Medical Clinic Pa.

The provider's business location address is:

6619 FOREST HILL DR
SUITE 30
FOREST HILL, TX
ZIP 76140-260
Phone: (817) 563-6985
Fax: (817) 563-4064

The provider's authorized official is Stephanie Ifeoma Menes .
The authorized official title is Owner and has the following contact phone number (817) 563-6985.

The CLIA number assigned to this NPI record is 45D2035096 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2009 and was last updated on 1/29/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	N1764	TEXAS	Yes

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: 5/5/2024

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