Provider Demographics
NPI:1366659856
Name:FOSTER, JANA ENGLISH (ATC LAT)
Entity Type:Individual
Prefix:
First Name:JANA
Middle Name:ENGLISH
Last Name:FOSTER
Suffix:
Gender:F
Credentials:ATC LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 POTEET DR
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-4760
Mailing Address - Country:US
Mailing Address - Phone:972-882-5366
Mailing Address - Fax:972-882-5362
Practice Address - Street 1:3300 POTEET DR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-4760
Practice Address - Country:US
Practice Address - Phone:972-882-5366
Practice Address - Fax:972-882-5362
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT07342255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer