MEDICARE: MR. MARK DAVID FORESTER BS CCSH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246Z00000X	Other Specialist/Technologist	1081	TX
2	174H00000X	Health Educator	1081	TX

General Provider Information

NPI Number	:	1558961227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARK DAVID FORESTER BS CCSH

Provider Business Mailing Address
First Line	:	1822 N SYLVANIA AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76111-2755
Country	:	US
Telephone Number	:	817-379-6334
Fax Number	:	817-379-6335

Provider Business Practice Location Address
First Line	:	1822 N SYLVANIA AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76111-2755
Country	:	US
Telephone Number	:	817-379-6334
Fax Number	:	817-379-6335

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2020
Last Update Date	:	10/30/2020

Similar Medicare Providers

1881630762 — MEDIGY LLC
Practice Location Address:

1822 N SYLVANIA AVE
FORT WORTH, TX
76111-2755

Practice Phone: 817-379-6334
Practice Fax: 817-379-6335

1386647634 — ADVANCED NEUROLOGICAL SERVICES
Practice Location Address:

2755 ALTA MESA BLVD
FORT WORTH, TX
76133-5803

Practice Phone: 817-292-2208
Practice Fax: 817-292-8021

1821089673 — DR. SUSAN E DREZ M.D.
Practice Location Address:

2755 MILLER AVE
FORT WORTH, TX
76105-4164

Practice Phone: 817-534-7110
Practice Fax: 817-413-0521

1417903428 — ZEDA G AMAYA MD
Practice Location Address:

2755 MILLER AVE
FORT WORTH, TX
76105-4164

Practice Phone: 817-534-7110
Practice Fax: 817-413-0521

1811917206 — ADVANCED NEUROLOGICAL SERVICES LLC
Practice Location Address:

2755 ALTAMESA BLVD
FORT WORTH, TX
76133-5803

Practice Phone: 817-292-2208
Practice Fax: 817-292-0572

1073604591 — MS. EVELYN LOUISE HILDEBRANDT APRN
Practice Location Address:

2755 MILLER AVE
FORT WORTH, TX
76105-4164

Practice Phone: 817-534-7110
Practice Fax: 817-413-0521

Directions to “ MR. MARK DAVID FORESTER BS CCSH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.