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NPI Code Detail

MEDICARE: DR. JAMES ROBERT FOSTER D.D.S.

MEDICARE: DR. JAMES ROBERT FOSTER D.D.S.
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
1122300000XDentist15409TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548394299
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES ROBERT FOSTER D.D.S.
Provider Business Mailing Address
First Line : 109 E AVENUE J
Second Line :
City : ROBSTOWN
State : TX
Zip : 78380-2347
Country : US
Telephone Number : 361-387-1531
Fax Number : 956-969-8570
Provider Business Practice Location Address
First Line : 109 E AVENUE J
Second Line :
City : ROBSTOWN
State : TX
Zip : 78380-2347
Country : US
Telephone Number : 361-387-1531
Fax Number : 956-969-8570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 12/17/2024

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