Provider Demographics
NPI:1932161148
Name:FORRER, DANIEL S (DO)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:S
Last Name:FORRER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 FM 407 E
Mailing Address - Street 2:STE. 155
Mailing Address - City:BARTONVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-7012
Mailing Address - Country:US
Mailing Address - Phone:940-584-0088
Mailing Address - Fax:940-584-0098
Practice Address - Street 1:2650 FM 407 E
Practice Address - Street 2:STE. 155
Practice Address - City:BARTONVILLE
Practice Address - State:TX
Practice Address - Zip Code:76226-7012
Practice Address - Country:US
Practice Address - Phone:940-584-0088
Practice Address - Fax:940-584-0098
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH9513207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8CG919OtherBCBSTX
TXE97996Medicare UPIN