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Organization
JOHN L. FORSYTHE, M.D.P.A
Active
Organization
JOHN L. FORSYTHE, M.D.P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN L FORSYTHE MD (PRESIDENT)
(409) 749-7130
Entity
Organization
Contact information
Practice address
2300 HIGHWAY 365 STE 230, NEDERLAND, TX 77627-6283
(409) 722-0808
(409) 722-4422
Mailing address
2300 HIGHWAY 365 STE 230, NEDERLAND, TX 77627-6283
(409) 722-0808
(409) 722-4422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E9635
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00W540
MEDICARE PROVIDER #
TX
01
—
0141PU
BCBS GROUP PROVIDER #
TX
05
—
1839607-01
—
TX
01
—
DF6603
RAILROAD MEDICARE
TX
Enumeration date
05/20/2006
Last updated
06/26/2020
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