Provider Demographics
NPI:1245276682
Name:FOSTER, STEVEN K (MD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:K
Last Name:FOSTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 189 STEVEN K FOSTER MD PA
Mailing Address - Street 2:DBA FAMILY MEDICAL CENTER
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78630-0189
Mailing Address - Country:US
Mailing Address - Phone:512-336-5824
Mailing Address - Fax:512-336-5293
Practice Address - Street 1:190 BUTTERCUP CREEK BLVD
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3772
Practice Address - Country:US
Practice Address - Phone:512-336-5824
Practice Address - Fax:512-336-5293
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4330208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX113755602Medicaid
TX8D6461Medicare UPIN
TX113755602Medicaid