Individual
DR. JONATHAN C HOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
417 S SAUNDERS AVE, TYLER, TX 75702-8344
(903) 596-9173
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1491
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042285901
—
TX
01
—
75-2616977-009
TRICARE
TX
Enumeration date
02/14/2006
Last updated
09/23/2024
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