Individual
MICHAEL A FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
810 W HIGHWAY 71, MARBLE FALLS, TX 78654-8602
(830) 201-7100
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
21791
OK
2085R0202X
Diagnostic Radiology Physician
Primary
Q3674
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107230A
—
OK
Enumeration date
03/29/2006
Last updated
12/08/2021
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