Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | F9437 | TX |
N | 208200000X | Surgeon | F9437 | TX |
N | 208600000X | Surgeon | F9437 | TX |
N | 2086S0102X | Surgical Critical Care | F9437 | TX |
NPI | 1326005232 |
---|---|
Provider Name | Dr. Preston F Foster |
First Address | San Antonio, TX 78229-3311 |
Second Address | San Antonio, TX 78229-3707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 26/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
143541403 | (05) | TX |
143541404 | CSN (01) | TX |
8BX125 | BCBS (01) | TX |
P00736713 | RAILROAD (01) | TX |