MEDICARE: DR. KATHRYN HOSTER D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	9655	TX

General Provider Information

NPI Number	:	1508860453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHRYN HOSTER D.C.

Provider Business Mailing Address
First Line	:	2415 PECAN ST W # 201
Second Line	:
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-3669
Country	:	US
Telephone Number	:	512-251-9686
Fax Number	:	512-251-9488

Provider Business Practice Location Address
First Line	:	2415 PECAN ST W # 201
Second Line	:
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-3669
Country	:	US
Telephone Number	:	512-251-9686
Fax Number	:	512-251-9488

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	12/17/2012

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