Provider Demographics
NPI:1013061670
Name:FORBES-BAKER, YVETTE ELAINE (DPM)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:ELAINE
Last Name:FORBES-BAKER
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4621 S COOPER ST
Mailing Address - Street 2:# 131-281
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-5866
Mailing Address - Country:US
Mailing Address - Phone:817-459-1400
Mailing Address - Fax:817-459-1401
Practice Address - Street 1:107 E PARK ROW DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-4426
Practice Address - Country:US
Practice Address - Phone:817-459-1400
Practice Address - Fax:817-459-1401
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1529213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00001015OtherRAILROAD MEDICARE
TX1571598Medicaid
TX00707HMedicare PIN
NYU72507Medicare UPIN