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Individual

DAVID A. FOSDICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8230 WALNUT HILL LN STE 208, DALLAS, TX 75231-4409
(214) 692-6135
(214) 692-6265
Mailing address
8230 WALNUT HILL LN STE 208, DALLAS, TX 75231-4409
(214) 692-6135
(214) 692-6265

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E9637
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
113986705
TX
Enumeration date
10/07/2005
Last updated
06/28/2013
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