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Organization

CHARLES J. LOSTAK, D.O., P.A.

Active
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Organization

CHARLES J. LOSTAK, D.O., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES JOHN LOSTAK D.O. (PRESIDENT)
(214) 948-8856
Entity
Organization

Contact information

Practice address
221 W COLORADO BLVD, PAVILION II, SUITE 940, DALLAS, TX 75208-2363
(214) 948-8856
(214) 948-5516
Mailing address
221 W COLORADO BLVD, PAVILION II, SUITE 940, DALLAS, TX 75208-2363
(214) 948-8856
(214) 948-5516

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
H0576
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1477549913
NPI INDIV. PROVIDER
TX
Enumeration date
07/16/2006
Last updated
08/22/2020
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