Provider Demographics
NPI:1831864909
Name:BRIAN FORREST, DC, LLC
Entity type:Organization
Organization Name:BRIAN FORREST, DC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:FORREST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:254-216-9730
Mailing Address - Street 1:2414 BRANDING IRON LN
Mailing Address - Street 2:
Mailing Address - City:LEANDER
Mailing Address - State:TX
Mailing Address - Zip Code:78641-3169
Mailing Address - Country:US
Mailing Address - Phone:254-216-9730
Mailing Address - Fax:
Practice Address - Street 1:8920 BUSINESS PARK DR STE 135
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-7632
Practice Address - Country:US
Practice Address - Phone:254-216-9730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty