Provider Demographics
NPI:1881190601
Name:FORGES, JAVET RANAE (LAT, MAT)
Entity Type:Individual
Prefix:MS
First Name:JAVET
Middle Name:RANAE
Last Name:FORGES
Suffix:
Gender:F
Credentials:LAT, MAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12603 WHITE PLAINS DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77089-6126
Mailing Address - Country:US
Mailing Address - Phone:832-226-9558
Mailing Address - Fax:
Practice Address - Street 1:21000 FRANZ RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-5729
Practice Address - Country:US
Practice Address - Phone:281-237-7800
Practice Address - Fax:281-644-1745
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-02
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT59472255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer