MEDICARE: FORTIS MED INCORPORATED

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1790527174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORTIS MED INCORPORATED

Provider Business Mailing Address
First Line	:	12417 BELLA VINO DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76126-4929
Country	:	US
Telephone Number	:	817-239-1071
Fax Number	:	817-782-9468

Provider Business Practice Location Address
First Line	:	12417 BELLA VINO DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76126-4929
Country	:	US
Telephone Number	:	817-239-1071
Fax Number	:	817-782-9468

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SAVITA KURUP
Credential	:	MD
Telephone Number	:	817-239-1071

Provider Enumeration Date	:	06/07/2024
Last Update Date	:	06/07/2024

Similar Medicare Providers

1437151487 — DR. ROBERT G PARHAM MD
Practice Location Address:

1101 6TH AVE STE 110
FORT WORTH, TX
76104-4929

Practice Phone: 817-912-8040
Practice Fax: 817-912-8049

1740614668 — MRS. HANNAH ELIZABETH AKIN RD, LD
Practice Location Address:

4829 PERSHING AVE
FORT WORTH, TX
76107-4929

Practice Phone: 817-247-9430
Practice Fax:

1386205011 — DR. OSAMAH HASAN
Practice Location Address:

1101 6TH AVE STE 110
FORT WORTH, TX
76104-4929

Practice Phone: 817-912-8570
Practice Fax:

1609418045 — SHAWNA JAE RUBALCABA FNP
Practice Location Address:

1101 6TH AVE STE 110
FORT WORTH, TX
76104-4929

Practice Phone: 817-912-8570
Practice Fax: 817-912-8580

1265069553 — VICTORIA TOVAR PA
Practice Location Address:

1101 6TH AVE STE 110
FORT WORTH, TX
76104-4929

Practice Phone: 817-912-8040
Practice Fax:

1902473655 — MARIA FOLKERTH M.S., LPC-ASSOCIATE
Practice Location Address:

5529 WORTH ST
DALLAS, TX
75214-4929

Practice Phone: 214-334-4845
Practice Fax:

Directions to “FORTIS MED INCORPORATED ” 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 © 2007-2026 (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.