Susan M Forman is a Specialist in Dallas, Texas. Susan M Forman practices all healthcare services and medical treatments related to Specialist. The NPI Number for Susan M Forman is 1710101787. The last update date is 2007-07-08.
Susan M Forman's current location address is 8305 Walnut Hill Ln, Dallas, Texas. You can contact this provider via phone number 2143632575 and fax number 2143633665. The mailing address for Susan M Forman is 8305 Walnut Hill Ln, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan M Forman |
|---|---|
| Address | 8305 Walnut Hill Ln, Dallas, Texas |
| Phone Number | 2143632575 |
| Fax Number | 2143633665 |
| Sole Proprietor | Y |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1710101787 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 8305 Walnut Hill Ln |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752314217 |
| Phone Number | 2143632575 |
| Fax Number | 2143633665 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 236864 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identifier code issued to Susan M Forman by the Centers for Medicare & Medicaid Services?
The Susan M Forman has been assigned the NPI (National Provider Identifier) 1710101787. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Susan M Forman?
The Susan M Forman is physically situated at 8305 Walnut Hill Ln, in the city of Dallas, state of TX, with the postal code 752314217.
What is the Susan M Forman's area of specialization and corresponding taxonomy classification?
The Susan M Forman's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1710101787 to Susan M Forman?
The Susan M Forman received its 1710101787 assignment from the Centers for Medicare & Medicaid Services on 2007-04-12.
When was the information regarding Susan M Forman most recently updated?
The details pertaining to the Susan M Forman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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