Provider Demographics
NPI:1881608941
Name:FOSTER, DORIAN WILKINS (MS, RD, LD, CDE)
Entity type:Individual
Prefix:
First Name:DORIAN
Middle Name:WILKINS
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MS, RD, LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:439 FURR DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-4426
Mailing Address - Country:US
Mailing Address - Phone:210-736-6486
Mailing Address - Fax:210-949-3327
Practice Address - Street 1:7400 MERTON MINTER DRIVE
Practice Address - Street 2:(128)
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5300
Practice Address - Fax:210-949-3327
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered