| Forest Lane Family Medicine, Pa | |
|
2601 Forest Ln Garland TX 75042-6508 | |
| (972) 272-1632 | |
| (972) 272-5220 |
| Full Name | Forest Lane Family Medicine, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 2601 Forest Ln, Garland, Texas |
| Authorized Official Name and Position | Walter Rios (MD) |
| Authorized Official Contact | 9722721632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Lane Family Medicine, Pa 2601 Forest Ln Garland TX 75042-6508 Ph: (972) 272-1632 | Forest Lane Family Medicine, Pa 2601 Forest Ln Garland TX 75042-6508 Ph: (972) 272-1632 |
| NPI Number | 1851539209 |
|---|---|
| Provider Enumeration Date | 01/22/2009 |
| Last Update Date | 01/30/2015 |
| Medicare PECOS PAC ID | 7618293796 |
|---|---|
| Medicare Enrollment ID | O20150309000696 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851539209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | L5110 (Texas) | Primary |
| Provider Name | Walter Rios |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205865722 PECOS PAC ID: 3678556305 Enrollment ID: I20040611001136 |
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