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Individual

ARTHUR D. FORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4009
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
H4920
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36765801
TX
Enumeration date
09/16/2006
Last updated
02/11/2010
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