# FOREST CLINICA FAMILIAR, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902221666
- **Authorized official:** MS. VICTORIA RODRIGUEZ (OFFICE MANAGER)
- **Authorized official phone:** (469) 804-7929

## Contact information

- **Practice address:** 9550 FOREST LN, SUITE 606, DALLAS, TX 75243-5905
- **Practice address phone:** (469) 804-7929
- **Practice address fax:** (469) 804-7930
- **Mailing address:** 9550 FOREST LN, SUITE 606, DALLAS, TX 75243-5905
- **Mailing address phone:** (469) 804-7929
- **Mailing address fax:** (469) 804-7930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2014
- **Last updated:** 12/12/2017