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Contact Information

FORNEY PEDIATRIC & MEDICAL CLINIC P.A.
713 W BROAD ST
SUITE 100
FORNEY, TX75126
 Phone: 972-552-3330
 Fax: 972-552-3303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for FORNEY PEDIATRIC MEDICAL CLINIC PA · (Female)

NPI # 1346305117
Status Active
Credentials
Entity Individual
Enumeration date 12/22/2006
Last updated 11/14/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # G2825
  • TX License # G4198
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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