Most Relevant Information
Provider Data
| NPI Number: | 1003199100 |
| Provider Name: | MALOTSHA ANNA FOSTER NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 739736 |
Most Important Dates
| Enumeration Date: | 09/25/2011 |
| Last Updated: | 03/19/2012 |
Provider Practice Location
740 S AMY LN
STE 101
HARKER HEIGHTS
TX
765481343
Practice Location Phone/Fax
| Phone: | 2546998521 |
| Fax: | 2546998528 |
Provider Mailing Location
3506 BARBED WIRE DR
KILLEEN
TX
765492402
Provider Mailing Phone/Fax
| Phone: | 2542895123 |
| Fax: |