| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1225173107 | | | | FOREST LANE PEDIATRICS | 7777 FOREST LN STE B300 | DALLAS | TX | 752302510 |
| 1356396691 | BLAIR | RONALD | M | | 7777 FOREST LN STE B300 | DALLAS | TX | 752302510 |
| 1194717322 | CLARKE | ROY | ADRIAN | | PO BOX 961205 | FORT WORTH | TX | 761611205 |
| 1912049545 | LIU | ANN | | | P.O. BOX 961205 | FORT WORTH | TX | 761611205 |
| 1720354954 | MAHAPATRA | SMITA | | | P.O. BOX 961205 | FORT WORTH | TX | 761611205 |
| 1437101136 | MCGONNELL | CHRISTOPHER | M. | | P.O. BOX 961205 | FORT WORTH | TX | 761611205 |
| 1407210982 | MENON | ROHAN | VENUGOPAL | | P.O. BOX 961205 | FORT WORTH | TX | 761611205 |
| 1962401174 | SAMARA | DAVID | EDWARD | | P.O. BOX 961205 | FORT WORTH | TX | 761611205 |
| 1730506619 | TANG | LYNDA | LAN | | P.O. BOX 961205 | FORT WORTH | TX | 761611205 |
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