Individual
JEFFREY L FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 567-6418
Mailing address
4502 MEDICAL DR, SAN ANTONIO, TX 78229-4402
(210) 358-4000
(210) 567-6418
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
46276
TX
2085R0202X
Diagnostic Radiology Physician
Primary
46276
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098528
SIHO - KCR
KY
05
—
200220770
—
IN
05
—
32512200
—
WI
05
—
368706301
—
TX
01
—
368706302
CSHCN
TX
01
—
50020477
PASSPORT - KCR
KY
05
—
64863806
—
KY
Enumeration date
03/08/2006
Last updated
05/20/2019
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