Individual
DR. WAYNE E HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
508 W 2ND ST, TYLER, TX 75701-2942
(903) 526-4350
(800) 580-1493
Mailing address
PO BOX 6396, TYLER, TX 75711-6396
(903) 526-4350
(800) 580-1493
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G7662
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163702701
—
TX
Enumeration date
09/13/2005
Last updated
02/24/2012
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