PRESTON FOREST FAMILY CLINIC, P.A. (NPI# 1083853832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083853832 |
| Entity Type | Organization |
| Organization Name | PRESTON FOREST FAMILY CLINIC, P.A. |
| Practice Address |
11661 Preston Rd Suite 124 Dallas TX 75230-2745 |
| Practice Telephone | 2143686197 |
| Practice Fax Number | 2143683804 |
| Mailing Telephone | 2143686197 |
| Mailing Fax Number | 2143683804 |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |
| Authorized Official Name | DR. ROBERT ADRIAAN C DEVRIES (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 2143686197 |
| Authorized Official Credential | M.D., PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
E2537 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
11661 PRESTON RD SUITE 124 |
| City | DALLAS |
| State | TX |
| Zip Code | 75230-2745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760479760 | Southwest Sports & Spine, LLP | Physical Therapist | 11661 Preston Rd, Suite 173, Dallas, TX 75230-2745 | 2005-10-04 |
| 1134768443 | Andria Wyatt | Behavioral Analyst | 11661 Preston Rd, Dallas, TX 75230-2745 | 2020-01-03 |
| 1679013494 | Cvs Aoc Services, L.L.C. | Audiologist | 11661 Preston Rd, Suite 218, Dallas, TX 75230-2745 | 2017-02-27 |
| 1851833248 | Frances Jameson | Nurse Practitioner | 11661 Preston Rd, Ste 218, Dallas, TX 75230-2745 | 2016-11-16 |
| 1992159677 | Natalie Crain | Physical Therapist | 11661 Preston Rd, Suite 173, Dallas, TX 75230-2745 | 2016-04-19 |
| 1447652094 | Louise Wolgat Polanco | Physical Therapist | 11661 Preston Rd, 173, Dallas, TX 75230-2745 | 2014-09-25 |
| 1275883910 | Acupuncture Center of Dallas Inc | Acupuncturist | 11661 Preston Rd, #170, Dallas, TX 75230-7012 | 2012-09-10 |
| 1891928891 | Diana Mendoza | Physician Assistant | 11661 Preston Rd, Suite 218, Dallas, TX 75230-2745 | 2009-08-25 |
| 1609010198 | Wholistic Herbs Inc. | Acupuncturist | 11661 Preston Rd, 170, Dallas, TX 75230-2745 | 2009-04-28 |
| 1750548251 | Zachary Keller | Physical Therapist | 11661 Preston Rd, Suite 173, Dallas, TX 75230-2745 | 2008-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912552415 | Kyoto Medical Services, Pllc | Orthopaedic Surgery | 12890 Hillcrest Plaza Drive, Suite K111, Dallas, TX 75230 | 2019-08-02 |
| 1528538170 | Angel Laamber Adams | Nurse Practitioner | 7777 Forest Lane Suite C 833, Dallas, TX 75230 | 2018-11-27 |
| 1538634399 | Tochukwu Chioma Uche-ukah | Nurse Practitioner | Dr Katari, Encompass Health Rehabilitations, 7930 Northaven Rd, Dallas, TX 75230 | 2018-10-09 |
| 1790260958 | Ability Aba, Pllc | Behavioral Analyst | 5930 Royal Lane Ste E, #301, Dallas, TX 75230 | 2018-10-03 |
| 1750887956 | Brandi Nicole Freeman | Behavioral Analyst | 5639 Mcshann Rd, Dallas, TX 75230 | 2018-04-05 |
| 1326547720 | Whitney A Stewart | Psychologist | 5924 Royal Lane, Ste 258, Preston Hollow Health & Wellness, Dallas, TX 75230 | 2018-02-12 |
| 1407384373 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7859 Walnut Hill Ln Ste 110, Dallas, TX 75230 | 2017-05-23 |
| 1215488648 | The Walker Wellness Clinic | Community/Behavioral Health | 12200 Preston Rd., Dallas, TX 75230 | 2016-10-20 |
| 1578912325 | Renat Kudyakov | Nurse Practitioner | 7777 Forest Ln Ste B-446, Dallas, TX 75230 | 2016-06-11 |
| 1407210982 | Rohan Venugopal Menon | Pediatrics | 7777 Forest Lane, Bldg B 300, Dallas, TX 75230 | 2016-04-11 |
| Find all providers in zip 75230 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316427420 | Angela Dee Killeen-hirschhorn | Family Medicine | 11909 Preston Rd Ste 286, Dallas, TX 75230-6140 | 2018-08-17 |
| 1457712937 | Martin Kaplan | Family Medicine | 4655 Christopher Pl, Dallas, TX 75204-1610 | 2016-03-11 |
| 1205177417 | Larry Wayne Gibbons | Family Medicine | 12330 Preston Road, Dallas, TX 75230 | 2013-03-13 |
| 1689847014 | Kenneth R Dority Do Pa | Family Medicine | 8414 Flower Meadow Dr, Dallas, TX 75243-7424 | 2008-04-07 |
| 1346435062 | Claire C Leggatt | Family Medicine | 5411 W Mockingbird Ln, Dallas, TX 75209-5607 | 2007-09-06 |
| 1447476874 | Nicolas Alfonso Padron | Family Medicine | 1000 Emerald Isle Dr, Dallas, TX 75218-3952 | 2007-04-17 |
| 1669594834 | Virginia Porras | Family Medicine | 2701 S Hampton Rd Ste 101, Dallas, TX 75224-2363 | 2007-04-06 |
| 1760528251 | James Bruce Wright | Family Medicine | 8585 N Stemmons Fwy, Suite 720, Dallas, TX 75247-3836 | 2007-01-30 |
| 1093897316 | Jennifer Ruth Kessmann | Family Medicine | 12240 Inwood Rd Ste 500, Dallas, TX 75244-8007 | 2006-10-19 |
| 1720172265 | Stefanie Joy Mccann | Family Medicine | 18800 Preston Road, Suite 314, Dallas, TX 75252 | 2006-10-02 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.