MEDICARE: DR. LACRECIA FOSTER DO

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	207Q00000X	Family Medicine Physician	K9061	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8P6350	OTHER	TX	BLUE CROSS

General Provider Information

NPI Number	:	1811959281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LACRECIA FOSTER DO

Provider Business Mailing Address
First Line	:	14755 NORTH FWY
Second Line	:	SUITE 400
City	:	HOUSTON
State	:	TX
Zip	:	77090-6501
Country	:	US
Telephone Number	:	281-977-8365
Fax Number	:	281-493-3353

Provider Business Practice Location Address
First Line	:	14755 NORTH FWY
Second Line	:	SUITE 400
City	:	HOUSTON
State	:	TX
Zip	:	77090-6501
Country	:	US
Telephone Number	:	281-977-8365
Fax Number	:	281-493-3353

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

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	12/16/2016

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Directions to “ DR. LACRECIA FOSTER DO” Practice Location

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