Individual
LOREN OST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
113 AIRPORT RD, SUITE 302, SULPHUR SPRINGS, TX 75482-2193
(903) 439-6500
(903) 438-0164
Mailing address
PO BOX 1367, SULPHUR SPRINGS, TX 75483-1367
(903) 439-6500
(903) 438-0164
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
P1380
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296561801
—
TX
Enumeration date
08/29/2005
Last updated
08/06/2015
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