MEDICARE: DARLENE KAY FOSTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	18470	OK

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00042483	OTHER	OK	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1194717132
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARLENE KAY FOSTER MD

Provider Business Mailing Address
First Line	:	3330 NW 56TH ST
Second Line	:	STE 604
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4479
Country	:	US
Telephone Number	:	405-951-5992
Fax Number	:	405-951-5994

Provider Business Practice Location Address
First Line	:	3330 NW 56TH ST
Second Line	:	STE 604
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-4479
Country	:	US
Telephone Number	:	405-951-5992
Fax Number	:	405-951-5994

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	07/09/2024

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Directions to “ DARLENE KAY FOSTER MD” Practice Location

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