FOREST CLINICA FAMILIAR, LLC
Marriage and Family Therapists at Forest Ln, Dallas, TX

License number
Texas F0114
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: MS. SIMONE SACKS
Title: OFFICE MANAGER
Phone: (469) 804-7929
Address
Address
9550 Forest Ln SUITE 606, Dallas, TX 75243
National Provider ID: 1902221666
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FOREST CLINICA FAMILIAR, LLC

9550 Frst Ln STE 606, Dallas, TX 75243

Doing business as:
Forest Clinica Familiar, LLC<br>Forest Clinica Familiar
Registration:
Aug 10, 2013
Phone:
(469) 804-7929 (Phone)
State ID:
0801831117
Business type:
Domestic Limited Liability Company (LLC)
Managers:
Arturo Ledezma (MANAGER, Manager), 9550 Frst Ln, Dallas, TX 75243,Rodolfo A. Herrera Manager, inactive,Juan Luis Zamora Manager, inactive
TIN:
32051701467

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