Individual
DR. DAYNE M. FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1700 UNIVERSITY DR E, COLLEGE STATION, TX 77840-2661
(409) 691-3300
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G5054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1271587-01
—
TX
01
—
1271587-02
CSHCN
TX
01
—
370017627
RR/MEDICARE
TX
01
—
84E407
BLUE SHIELD
TX
Enumeration date
03/28/2006
Last updated
12/08/2021
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