Individual
DR. SIMON JOHN FORSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, DABCO
Contact information
Practice address
12414 ALDERBROOK DR, STE. 250, AUSTIN, TX 78758-2480
(512) 834-2355
(512) 834-0477
Mailing address
12414 ALDERBROOK DR, STE. 250, AUSTIN, TX 78758-2480
(512) 834-2355
(512) 834-0477
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
5724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011HW
GROUP BCBS #
TX
01
—
432327
ACN #
TX
01
—
603720
MEDICARE PTAN
TX
01
—
8F9211
INDIV BCBS #
TX
Enumeration date
07/27/2005
Last updated
01/26/2011
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