Provider Demographics
NPI:1780874040
Name:FOSTER, KARL L (DC)
Entity type:Individual
Prefix:
First Name:KARL
Middle Name:L
Last Name:FOSTER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2921 LONG PRAIRIE RD
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-4846
Mailing Address - Country:US
Mailing Address - Phone:972-724-4357
Mailing Address - Fax:972-539-4358
Practice Address - Street 1:2921 LONG PRAIRIE RD
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022
Practice Address - Country:US
Practice Address - Phone:972-724-4357
Practice Address - Fax:972-539-4358
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5750111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
603630,0311LE,8M2980OtherBC/BS
8231617OtherBLUE LINK
827001OtherAETNA HMO
4316054OtherAETNA PPO/POS
3319246002OtherCIGNA HMO/POS
4316054OtherAETNA PPO/POS
U31617Medicare UPIN