Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | K4687 | TX |
N | 111NI0900X | Internist | K4687 | TX |
Y | 207RN0300X | Nephrologist | K4687 | TX |
NPI | 1053339564 |
---|---|
Provider Name | John R Foringer |
First Address | Houston, TX 77216-1088 |
Second Address | Houston, TX 77030-3000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 04/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8F6671 | BCBS (01) | TX |
G91203 | (02) | TX |