Organization
WAYNE E HOSTETLER MD PA
Active
Other names
Rose City Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE E HOSTETLER JR. M.D. (OWNER)
(903) 526-4350
Entity
Organization
Contact information
Practice address
1312 DOCTORS DR, TYLER, TX 75701-2262
(903) 526-4350
(800) 580-1493
Mailing address
1312 DOCTORS DR, TYLER, TX 75701-2262
(903) 526-4350
(800) 580-1493
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163702701
—
TX
Enumeration date
12/11/2007
Last updated
09/09/2010
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