Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 795613 | TX |
NPI | 1003030297 |
---|---|
Provider Name | Wendy Renee Foster |
First Address | Plano, TX 75028 |
Second Address | Plano, TX 75093-3656 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 03/02/2016 |