Provider Demographics
NPI:1336523950
Name:SAMUEL B. FOSTER, M.D., PLLC
Entity Type:Organization
Organization Name:SAMUEL B. FOSTER, M.D., PLLC
Other - Org Name:NORTH TEXAS ALLERGY & ASTHMA CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-382-4142
Mailing Address - Street 1:2617 SCRIPTURE ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-4314
Mailing Address - Country:US
Mailing Address - Phone:940-382-4142
Mailing Address - Fax:
Practice Address - Street 1:2617 SCRIPTURE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4314
Practice Address - Country:US
Practice Address - Phone:940-382-4142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM5166207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1780733428OtherROSHNI K FOSTER-NPI
TXTXB112376OtherMEDICARE PTAN-SAMUEL FOSTER
TXTXB134584OtherMEDICARE PTAN ROSHNI FOSTER
TX1801958236OtherINDIVIDUAL NPI