Provider Demographics
NPI:1710410527
Name:FOLEY, ERNEST LEE IV (DO MS)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:LEE
Last Name:FOLEY
Suffix:IV
Gender:M
Credentials:DO MS
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Mailing Address - Street 1:1301 SOLANA BLVD STE 2200
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-1769
Mailing Address - Country:US
Mailing Address - Phone:817-767-6189
Mailing Address - Fax:817-809-6942
Practice Address - Street 1:801 E WHEELER RD
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-1820
Practice Address - Country:US
Practice Address - Phone:509-765-5606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-07
Last Update Date:2020-07-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5101025525207P00000X
WI73005-21207P00000X
UT11725396-1204207P00000X
WAOP61049885207P00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine