=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023307246
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMI C. FOSTER, M.D., P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/29/2011
-----------------------------------------------------
Last Update Date | 04/20/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 24022 CINCO VILLAGE CENTER BLVD SUITE 240
-----------------------------------------------------
City | KATY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77494-8397
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-394-2390
-----------------------------------------------------
Fax | 281-394-2395
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 24022 CINCO VILLAGE CENTER BLVD SUITE 240
-----------------------------------------------------
City | KATY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77494-8397
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-394-2390
-----------------------------------------------------
Fax | 281-394-2395
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. AMI C FOSTER
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 281-221-6834
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number | L3647
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------