Provider Demographics
NPI:1306874813
Name:FOSTER, AMI CATHLEEN (MD)
Entity type:Individual
Prefix:DR
First Name:AMI
Middle Name:CATHLEEN
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24510 KINGSLAND BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3429
Mailing Address - Country:US
Mailing Address - Phone:281-394-2390
Mailing Address - Fax:281-394-2395
Practice Address - Street 1:24510 KINGSLAND BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3429
Practice Address - Country:US
Practice Address - Phone:281-394-2390
Practice Address - Fax:281-394-2395
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2017-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL3647207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH56155Medicare UPIN
TX8A3431Medicare ID - Type UnspecifiedMEDICARE
TX8F3285Medicare PIN