Individual
DR. DORIS EILEEN HOSSALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1524 LEANDER RD, GEORGETOWN, TX 78628-8801
(512) 863-7586
(512) 863-5222
Mailing address
1524 LEANDER RD, GEORGETOWN, TX 78628-8801
(512) 863-7586
(512) 863-5222
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
042-0012090
VT
208000000X
Pediatrics Physician
Primary
F9586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018167
—
VT
05
—
112091701
—
TX
Enumeration date
10/01/2006
Last updated
06/06/2013
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