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NPI Code Detail

MEDICARE: DAVID A. FOSDICK MD

MEDICARE: DAVID A. FOSDICK MD
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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianE9637TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518955129
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID A. FOSDICK MD
Provider Business Mailing Address
First Line : 8230 WALNUT HILL LN STE 208
Second Line :
City : DALLAS
State : TX
Zip : 75231-4409
Country : US
Telephone Number : 214-692-6135
Fax Number : 214-692-6265
Provider Business Practice Location Address
First Line : 8230 WALNUT HILL LN STE 208
Second Line :
City : DALLAS
State : TX
Zip : 75231-4409
Country : US
Telephone Number : 214-692-6135
Fax Number : 214-692-6265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 06/28/2013

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Directions to “ DAVID A. FOSDICK MD” Practice Location

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