| Doctor Name: | MALOTSHA ANNA FOSTER |
| NPI Number: | 1003199100 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 739736 |
| Business Practice Address: | 740 S Amy Ln Ste 101 Harker Heights, TX - 765481343 |
| Business Phone Number: | 2546998521 |
| Business Fax Number: | 2546998528 |
| Mailing Address: | 3506 Barbed Wire Dr, KILLEEN |
| State: | TX |
| Postal Code: | 765492402 |
| Phone Number: | 2542895123 |
| Fax Number: | |
| NPI Enumeration Date: | 09/25/2011 |
| NPI Last Update Date: | 03/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 739736 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |