Individual
DAVID A. HOSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
107 CIRCLE WAY ST, LAKE JACKSON, TX 77566-5233
(979) 297-3204
(979) 297-6220
Mailing address
PO BOX 783, LAKE JACKSON, TX 77566-0783
(979) 297-3204
(979) 297-6220
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
P 1063
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018624901
—
TX
Enumeration date
04/05/2006
Last updated
07/15/2008
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