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NPI Code Detail

MEDICARE: DEION JAMAL FOSTER DPT

MEDICARE: DEION JAMAL FOSTER DPT
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
1225100000XPhysical Therapist1372951TX

General Provider Information

NPI Number : 1144931445
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEION JAMAL FOSTER DPT
Provider Business Mailing Address
First Line : PO BOX 2650
Second Line :
City : COPPELL
State : TX
Zip : 75019-8607
Country : US
Telephone Number : 972-724-2400
Fax Number : 972-724-2495
Provider Business Practice Location Address
First Line : 4401 LONG PRAIRIE RD STE 300
Second Line :
City : FLOWER MOUND
State : TX
Zip : 75028-2008
Country : US
Telephone Number : 972-691-1331
Fax Number : 972-691-1731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2022
Last Update Date : 02/09/2023

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Directions to “ DEION JAMAL FOSTER DPT” Practice Location

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