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NPI Code Detail

MEDICARE: DAVID A. HOSACK D.P.M.

MEDICARE:   DAVID A. HOSACK  D.P.M.
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
1213ES0131XFoot Surgery PodiatristP 1063TX

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 : 1548222318
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID A. HOSACK D.P.M.
Provider Business Mailing Address
First Line : PO BOX 783
Second Line :
City : LAKE JACKSON
State : TX
Zip : 77566-0783
Country : US
Telephone Number : 979-297-3204
Fax Number : 979-297-6220
Provider Business Practice Location Address
First Line : 107 CIRCLE WAY ST
Second Line :
City : LAKE JACKSON
State : TX
Zip : 77566-5233
Country : US
Telephone Number : 979-297-3204
Fax Number : 979-297-6220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 07/15/2008

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Directions to “ DAVID A. HOSACK D.P.M.” Practice Location

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