Healthcare Provider Details

I. General information

NPI: 1033038799
Provider Name (Legal Business Name): DEXTER QUINN FOSTER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: QUINN QUINN FOSTER

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 VEROT SCHOOL RD APT 425
LAFAYETTE LA
70508-8245
US

IV. Provider business mailing address

221 VEROT SCHOOL RD APT 425
LAFAYETTE LA
70508-8245
US

V. Phone/Fax

Practice location:
  • Phone: 281-857-9247
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: