Provider Demographics
NPI:1417614132
Name:FOSTER, LAPORCHA (CERTIFIED DOULA)
Entity Type:Individual
Prefix:
First Name:LAPORCHA
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:CERTIFIED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5803 DOOLITTLE BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77033-1903
Mailing Address - Country:US
Mailing Address - Phone:346-288-4555
Mailing Address - Fax:
Practice Address - Street 1:5803 DOOLITTLE BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77033-1903
Practice Address - Country:US
Practice Address - Phone:346-392-1882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-17
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty