Provider Demographics
NPI:1770668899
Name:FORSYTHE, BRIAN C (DO)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:C
Last Name:FORSYTHE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5307 E MOCKINGBIRD LN STE 915
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5111
Mailing Address - Country:US
Mailing Address - Phone:469-680-3632
Mailing Address - Fax:214-393-1756
Practice Address - Street 1:5307 E MOCKINGBIRD LN STE 915
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5111
Practice Address - Country:US
Practice Address - Phone:469-680-3632
Practice Address - Fax:214-393-1756
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK70192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry