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Individual
JOHN L FORSYTHE
Active
Individual
JOHN L FORSYTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E9635
TX
208D00000X
General Practice Physician
E9635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1264582-07
—
TX
01
—
8AJ013
BCBS INDIVIDUAL PROVIDER#
TX
01
—
8F3051
MEDICARE PROVIDER #
TX
01
—
P00382814
RAILROAD MEDICARE INDIVIDUAL PROVIDER #
TX
Enumeration date
07/20/2005
Last updated
06/26/2020
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