1457610909 NPI number — MS. SUZANNE C FOSTER MSW; TX-LCSW; LCDC

Table of content: MS. SUZANNE C FOSTER MSW; TX-LCSW; LCDC (NPI 1457610909)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457610909 NPI number — MS. SUZANNE C FOSTER MSW; TX-LCSW; LCDC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FOSTER
Provider First Name:
SUZANNE
Provider Middle Name:
C
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW; TX-LCSW; LCDC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457610909
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/27/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5100 WESTHEIMER RD
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77056-4682
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-876-4345
Provider Business Mailing Address Fax Number:
713-592-9177

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5100 WESTHEIMER RD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77056-4682
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-876-4345
Provider Business Practice Location Address Fax Number:
713-592-9177
Provider Enumeration Date:
05/03/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  11423 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com