MEDICARE: CARLOS FOSTER D.C.7285

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	111NR0200X	Radiology Chiropractor	DC7285	TX

General Provider Information

NPI Number	:	1336369206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS FOSTER D.C.7285

Provider Business Mailing Address
First Line	:	4716 E LANCASTER AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76103-3836
Country	:	US
Telephone Number	:	817-413-8000
Fax Number	:	817-413-8001

Provider Business Practice Location Address
First Line	:	4716 E LANCASTER AVE
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76103-3836
Country	:	US
Telephone Number	:	817-413-8000
Fax Number	:	817-413-8001

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

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	07/08/2007

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