Individual
JEFFREY L FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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