Provider Demographics
NPI:1992033732
Name:FOSTER, TERA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TERA
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11310 W HWY 290
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737-2801
Mailing Address - Country:US
Mailing Address - Phone:866-210-5438
Mailing Address - Fax:
Practice Address - Street 1:11310 W HWY 290
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737-2801
Practice Address - Country:US
Practice Address - Phone:866-210-5438
Practice Address - Fax:866-307-1996
Is Sole Proprietor?:No
Enumeration Date:2009-12-04
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX44346183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist