Provider Demographics
NPI:1710085337
Name:FOREST, PATRICIA LAUREN (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:LAUREN
Last Name:FOREST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3105 STRATFORD DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-3083
Mailing Address - Country:US
Mailing Address - Phone:254-778-4811
Mailing Address - Fax:254-743-0135
Practice Address - Street 1:1901 S. 1ST STREET
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76504
Practice Address - Country:US
Practice Address - Phone:254-778-4811
Practice Address - Fax:254-743-0135
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXG8839207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine