Healthcare Provider Details
I. General information
NPI: 1679869150
Provider Name (Legal Business Name): APRIL NICOLE FOSTER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/23/2011
Last Update Date: 07/31/2024
Certification Date: 06/22/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21350 FM 529 RD STE 600
CYPRESS TX
77433-7885
US
IV. Provider business mailing address
21350 FM 529 RD STE 600
CYPRESS TX
77433-7885
US
V. Phone/Fax
- Phone: 808-940-8565
- Fax:
- Phone: 808-940-8565
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 34.012533 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 0102203631 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: