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Organization

J. P. FORAGE, M.D., P.A.

Active
Other names
ASSOCIATES IN GENERAL SURGERY
Organization subpart
No

Provider details

NPI number
Authorized official
JEAN-PIERRE FORAGE M.D. (PRESIDENT)
(512) 443-5954
Entity
Organization

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, STE 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
0831836-01
TX
01
PR29114470001
CIGNA VENDOR #
TX
Enumeration date
03/30/2007
Last updated
06/21/2018
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