Provider Demographics
NPI:1407428444
Name:FOSTER, KARSON WILLIAM (DC)
Entity Type:Individual
Prefix:
First Name:KARSON
Middle Name:WILLIAM
Last Name:FOSTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14802 JONES MALTSBERGER RD STE 2201
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-3763
Mailing Address - Country:US
Mailing Address - Phone:726-245-2210
Mailing Address - Fax:726-245-2211
Practice Address - Street 1:14802 JONES MALTSBERGER RD STE 2201
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78247-3763
Practice Address - Country:US
Practice Address - Phone:817-675-5906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-10
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14801111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor