Forest Lane Pediatrics

NPI #1225173107 in Dallas, Texas

Provider Information

NPI Number: 1225173107
Entity Type: Organization
Organization Name: Forest Lane Pediatrics
Primary Specialty: Pediatrics
Enumeration Date: Feb 20, 2007
Last Updated: Mar 29, 2017

Practice Location

Address: 7777 FOREST LN STE B300
City: Dallas
State: Texas
ZIP Code: 75230-2510
Phone: (972) 284-7770

Authorized Official

Name: SHIRLEY GROSVENOR
Title: MANAGER
Phone: (972) 284-7776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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