MEDICARE: DR. JAMES MITCHELL FOSTER DDS

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	1223G0001X	General Practice Dentistry	15616	TX

General Provider Information

NPI Number	:	1457427890
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES MITCHELL FOSTER DDS

Provider Business Mailing Address
First Line	:	1051 PINELOCH DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-2742
Country	:	US
Telephone Number	:	281-488-2279
Fax Number	:	281-488-6324

Provider Business Practice Location Address
First Line	:	1051 PINELOCH DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-2742
Country	:	US
Telephone Number	:	281-488-2279
Fax Number	:	281-488-2279

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

Provider Enumeration Date	:	11/28/2006
Last Update Date	:	09/04/2019

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