Organization
FOREST CLINICA FAMILIAR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN LUIS ZAMORA M.D (OWNER)
(469) 464-6256
Entity
Organization
Contact information
Practice address
9550 FOREST LN, SUITE 606, DALLAS, TX 75243-6176
(469) 464-6256
Mailing address
9550 FOREST LN, SUITE 606, DALLAS, TX 75243-5905
(469) 804-7929
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
J3024
TX
Other
Enumeration date
08/01/2013
Last updated
11/19/2013
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