Healthcare Provider Details

I. General information

NPI: 1194717132
Provider Name (Legal Business Name): DARLENE KAY FOSTER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3330 NW 56TH ST STE 604
OKLAHOMA CITY OK
73112-4479
US

IV. Provider business mailing address

3330 NW 56TH ST STE 604
OKLAHOMA CITY OK
73112-4479
US

V. Phone/Fax

Practice location:
  • Phone: 405-951-5992
  • Fax: 405-951-5994
Mailing address:
  • Phone: 405-951-5992
  • Fax: 405-951-5994

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number18470
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: