Healthcare Provider Details

I. General information

NPI: 1497331516
Provider Name (Legal Business Name): LORETTA FOSTER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LORETTA WINKLER

II. Dates (important events)

Enumeration Date: 03/19/2021
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4501 CLEAR CREEK RD
KILLEEN TX
76549-4218
US

IV. Provider business mailing address

PO BOX 844658
DALLAS TX
75284-4658
US

V. Phone/Fax

Practice location:
  • Phone: 254-501-6400
  • Fax: 254-501-6461
Mailing address:
  • Phone: 800-994-0371
  • Fax: 254-215-9722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP145115
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: