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NPI Code Detail

MEDICARE: MR. CLIFFORD LEON FOSTER III

MEDICARE:  MR. CLIFFORD LEON FOSTER III
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
1225200000XPhysical Therapy Assistant2183303TX

General Provider Information

NPI Number : 1316802960
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CLIFFORD LEON FOSTER III
Provider Business Mailing Address
First Line : 127 MEDICAL PARK LN
Second Line :
City : HUNTSVILLE
State : TX
Zip : 77340-4972
Country : US
Telephone Number : 936-294-0283
Fax Number : 936-294-9878
Provider Business Practice Location Address
First Line : 127 MEDICAL PARK LN
Second Line :
City : HUNTSVILLE
State : TX
Zip : 77340-4972
Country : US
Telephone Number : 936-294-0283
Fax Number : 936-294-9878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2025
Last Update Date : 12/17/2025

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Directions to “ MR. CLIFFORD LEON FOSTER III ” Practice Location

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