Forman, David Michael

Forman, David Michael is an individual health care provider with primary practice located at 2121 Pease St Ste 305 , Harlingen TX 78550-8349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Forman, David Michael can be contacted via phone (956) 440-7246.

Contact Information

Primary practice address
2121 Pease St Ste 305 Harlingen TX 78550-8349
Phone: (956) 440-7246
Fax: (956) 440-9517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X J6950 Texas

Profile Details

NPI number 1174588602
LBN Legal business name Forman, David Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated May 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174588602 NPPES
Texas Other J6950 LICENSE #
Texas Other P00462542 LICENSE #
Texas MEDICAID 042903703 LICENSE #
Texas Other P00454590 LICENSE #
Texas Other 8H0761 LICENSE #
Texas MEDICAID 042903704 LICENSE #
Texas Other 050092209 LICENSE #
Texas Other 129836100 LICENSE #

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