Basic Information
| Provider Information | |||||||||
| NPI: | 1821417304 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FOSTER | ||||||||
| FirstName: | KAYLA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2450 HOLCOMBE BLVD STE 34L | ||||||||
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| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770212041 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8328283660 | ||||||||
| FaxNumber: | 8328259187 | ||||||||
| Practice Location | |||||||||
| Address1: | 1102 BATES AVE STE C1570 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770302617 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8328244294 | ||||||||
| FaxNumber: | 8328259460 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/10/2014 | ||||||||
| LastUpdateDate: | 07/26/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/26/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | T2602 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 57392 | TN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | BP10049209 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | T2602 | TX | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | BP10049209 | TX | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 57392 | TN | N | Allopathic & Osteopathic Physicians | Pediatrics | 2080P0207X | T2602 | TX | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Hematology-Oncology |
No ID Information.