Basic Information
| Provider Information | |||||||||
| NPI: | 1881608941 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FOSTER | ||||||||
| FirstName: | DORIAN | ||||||||
| MiddleName: | WILKINS | ||||||||
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| Credential: | MS, RD, LD, CDE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 439 FURR DR | ||||||||
| Address2: | |||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782014426 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2107366486 | ||||||||
| FaxNumber: | 2109493327 | ||||||||
| Practice Location | |||||||||
| Address1: | 7400 MERTON MINTER DRIVE | ||||||||
| Address2: | (128) | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782294404 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2106175300 | ||||||||
| FaxNumber: | 2109493327 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.