Individual ProviderLaine F ForanFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1500 S Main St, Fort Worth, TX 76104-4917(817) 921-3431PECOS EnrollmentBased on the most recent information from CMS, provider Laine F Foran does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1265477996Provider TypeIndividualFull NameForan, Laine FTitleDr.CredentialDOGenderFemaleSole ProprietorNoEnumeration Date6/17/2006Last Updated9/17/2012Contact InformationPractice LocationPractice Address1500 S Main St, Fort Worth, TX 76104-4917Phone(817) 921-3431FaxUnlisted FaxMailing LocationMailing Address1500 S Main St, Fort Worth, TX 76104-4917Phone(817) 921-3431FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseK3189TexasProvider IdentifiersIDDescriptionIssuerID105799403DescriptionMedicaidIssuerUnlistedTexas