Provider Demographics
NPI:1811959281
Name:FOSTER, LACRECIA (DO)
Entity type:Individual
Prefix:DR
First Name:LACRECIA
Middle Name:
Last Name:FOSTER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:14755 NORTH FWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-6501
Mailing Address - Country:US
Mailing Address - Phone:281-977-8365
Mailing Address - Fax:281-493-3353
Practice Address - Street 1:14755 NORTH FWY
Practice Address - Street 2:SUITE 400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-6501
Practice Address - Country:US
Practice Address - Phone:281-977-8365
Practice Address - Fax:281-493-3353
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK9061207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX040302406Medicaid
TX8P6350OtherBLUE CROSS
TXG24083Medicare UPIN
TXP00167670Medicare PIN
TX040302406Medicaid