MEDICARE: DR. JAMES PATRICK FOSHEE 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207ND0101X	MOHS-Micrographic Surgery Physician	62695	AZ

General Provider Information

NPI Number	:	1689037152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES PATRICK FOSHEE MD

Provider Business Mailing Address
First Line	:	5310 HARVEST HILL RD STE 290
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75230-5826
Country	:	US
Telephone Number	:	602-494-1817
Fax Number	:	602-494-7103

Provider Business Practice Location Address
First Line	:	11130 N TATUM BLVD STE 100
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85028-1630
Country	:	US
Telephone Number	:	602-494-1817
Fax Number	:

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

Provider Enumeration Date	:	04/01/2016
Last Update Date	:	07/27/2021

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