National Provider Identifier Database

FORNEY PEDIATRIC MEDICAL CLINIC PA
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


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
* Adolescent Medicine 2080A0000X
Family Medicine 207Q00000X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for FORNEY PEDIATRIC & MEDICAL CLINIC P.A.

NPI Number 1346305117
Legal business name
LBN
FORNEY PEDIATRIC & MEDICAL CLINIC P.A.
Authorized official JAYAPRAKASH REDDY - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/22/2006
Last updated 11/14/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: G2825
  • TX License #: G4198

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.

Reviews for FORNEY PEDIATRIC & MEDICAL CLINIC P.A.

There are currently no reviews for FORNEY PEDIATRIC & MEDICAL CLINIC P.A.


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