Doctor Name: | ROBERT ALAN FOULK |
NPI Number: | 1013977578 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICIAN ASSISTANT |
License Number: | PA02470 |
Business Practice Address: | 3851 Roger Brooke Dr Dept Of Plastic Surgery Fort Sam Houston, TX - 782344501 |
Business Phone Number: | 2109163100 |
Business Fax Number: | |
Mailing Address: | 1758 Heavens Peak, SAN ANTONIO |
State: | TX |
Postal Code: | 782587294 |
Phone Number: | 8309805810 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2006 |
NPI Last Update Date: | 09/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA02470 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |