Individual
JEAN-PIERRE FORAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11645 ANGUS RD, STE B-6, AUSTIN, TX 78759-4020
(512) 443-5954
(512) 326-3433
Mailing address
11645 ANGUS RD, SUITE B-6, AUSTIN, TX 78759-4020
(512) 443-5954
(512) 326-3433
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G5050
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083183601
—
TX
05
—
113863802
—
TX
01
—
742638492
TAX ID
TX
01
—
80T081
BCBS INDIVIDUAL #
TX
Enumeration date
06/16/2006
Last updated
10/07/2015
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