| John L. Forsythe, M.d.p.a | |
|
2300 Highway 365 Ste 230 Nederland TX 77627-6283 | |
| (409) 722-0808 | |
| (409) 722-4422 |
| Full Name | John L. Forsythe, M.d.p.a |
|---|---|
| Speciality | Family Medicine |
| Location | 2300 Highway 365 Ste 230, Nederland, Texas |
| Authorized Official Name and Position | John L Forsythe (PRESIDENT) |
| Authorized Official Contact | 4097497130 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John L. Forsythe, M.d.p.a 2300 Highway 365 Ste 230 Nederland TX 77627-6283 Ph: (409) 722-0808 | John L. Forsythe, M.d.p.a 2300 Highway 365 Ste 230 Nederland TX 77627-6283 Ph: (409) 722-0808 |
| NPI Number | 1912951179 |
|---|---|
| Provider Enumeration Date | 05/20/2006 |
| Last Update Date | 06/26/2020 |
| Medicare PECOS PAC ID | 6305858614 |
|---|---|
| Medicare Enrollment ID | O20060630000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912951179 | NPI | - | NPPES |
| 00W540 | Other | TX | MEDICARE PROVIDER # |
| 1839607-01 | Medicaid | TX | |
| 0141PU | Other | TX | BCBS GROUP PROVIDER # |
| DF6603 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E9635 (Texas) | Primary |
| Provider Name | John L Forsythe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326047457 PECOS PAC ID: 5496762817 Enrollment ID: I20060630000216 |
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