| Forefront-johnson Medical Service Corporation | |
|
1717 Main St Ste 5850 Dallas TX 75201-7317 | |
| (866) 959-2008 | |
| (888) 972-2903 |
| Full Name | Forefront-johnson Medical Service Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1717 Main St Ste 5850, Dallas, Texas |
| Authorized Official Name and Position | Shamalon Johnson (OWNER) |
| Authorized Official Contact | 5049091027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forefront-johnson Medical Service Corporation 3500 Quakerbridge Rd # 105 Hamilton NJ 08619-1206 Ph: (866) 959-2008 | Forefront-johnson Medical Service Corporation 1717 Main St Ste 5850 Dallas TX 75201-7317 Ph: (866) 959-2008 |
| NPI Number | 1194223933 |
|---|---|
| Provider Enumeration Date | 01/26/2018 |
| Last Update Date | 10/18/2024 |
| Certification Date | 10/18/2024 |
| Medicare PECOS PAC ID | 9133483662 |
|---|---|
| Medicare Enrollment ID | O20180508002102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194223933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Steven R Posner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255472411 PECOS PAC ID: 0648165134 Enrollment ID: I20040216000162 |
| Provider Name | Laura King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801179791 PECOS PAC ID: 8325215924 Enrollment ID: I20210528001531 |
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