Individual
DUSTIN HOSTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1 W MEDICAL CT, WICHITA FALLS, TX 76310-1767
(940) 689-9664
(940) 689-9662
Mailing address
1 W MEDICAL CT, WICHITA FALLS, TX 76310-1767
(940) 689-9664
(940) 689-9662
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1483
TX
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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