Individual
MR. BURT LANIER FORGASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14441 MEMORIAL DR, SUITE 6, HOUSTON, TX 77079-6744
(281) 493-1230
(281) 493-3814
Mailing address
7517 BRIAR ROSE DR, HOUSTON, TX 77063-1803
(713) 784-5893
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0990
TX
Other
Enumeration date
02/06/2006
Last updated
07/14/2010
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