Provider Demographics
NPI:1659682664
Name:FORNEY, TERI DENISE (MD)
Entity Type:Individual
Prefix:DR
First Name:TERI
Middle Name:DENISE
Last Name:FORNEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1505 W JEFFERSON ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-2277
Mailing Address - Country:US
Mailing Address - Phone:972-938-3493
Mailing Address - Fax:972-937-5608
Practice Address - Street 1:1505 W JEFFERSON ST
Practice Address - Street 2:SUITE 120
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-2277
Practice Address - Country:US
Practice Address - Phone:972-938-3493
Practice Address - Fax:972-937-5608
Is Sole Proprietor?:No
Enumeration Date:2010-06-24
Last Update Date:2014-11-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXQ0437207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology