| Organization Name: | FOREST HILL MEDICAL CLINIC, P. A. |
| NPI Number: | 1467781138 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHANIE IFEOMA MENES (DIRECTOR) |
| Mailing Address: | 6619 Forest Hill Dr Suite 30 Forest Hill |
| State: | TX US |
| Postal Code: | 761401260 |
| Phone Number: | 8175636985 |
| Fax Number: | 8175634064 |
| NPI Enumeration Date: | 12/09/2009 |
| NPI Last Update Date: | 02/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | N1764 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |