Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A115887 | CA |
N | 111NI0900X | Internist | A115887 | CA |
Y | 207RC0200X | Critical Care Medicine | N4414 | TX |
N | 207RP1001X | Pulmonary Disease | N4414 | TX |
NPI | 1013176718 |
---|---|
Provider Name | Kimber Lee Foust |
First Address | Dallas, TX 75246-1800 |
Second Address | Dallas, TX 75246-1800 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2008 |
Last Update Date | 22/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3399586-01 | (05) | TX |