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Individual

THALIA B. FORTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8401 JACK FINNEY BLVD, GREENVILLE, TX 75402-3017
(800) 945-2455
(903) 453-2541
Mailing address
3801 W 15TH ST, BLDG. C, PLANO, TX 75075-4737
(972) 596-4033
(972) 758-1163

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
J5574
TX
2085R0202X
Diagnostic Radiology Physician
Primary
J5574
TX

Other

Enumeration date
05/08/2006
Last updated
06/29/2023
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