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General NPI Number Information
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NPI Number | 1336523950
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Entity Type | Organization
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Legal Business Name | SAMUEL B. FOSTER, M.D., PLLC
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 2617 SCRIPTURE ST SUITE 101
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City | DENTON
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State | TX
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Zip | 76201-4314
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Country | US
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Telephone | 940-382-4142
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Fax |
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Provider Business Mailing Address
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Address Line | 2617 SCRIPTURE ST SUITE 101
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City | DENTON
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State | TX
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Zip | 76201-4314
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Country | US
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Telephone | 940-382-4142
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | SAMUEL B FOSTER
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Credential | MD
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Telephone | 940-382-4142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | M5166
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License Number State | TX
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