Fosdick, David A.

Fosdick, David A. is an individual health care provider with primary practice located at 8230 Walnut Hill Ln Ste 208 , Dallas TX 75231-4409. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Fosdick, David A. can be contacted via phone (214) 692-6135.

Contact Information

Primary practice address
8230 Walnut Hill Ln Ste 208 Dallas TX 75231-4409
Phone: (214) 692-6135
Fax: (214) 692-6265
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X E9637 Texas

Profile Details

NPI number 1518955129
LBN Legal business name Fosdick, David A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Jun 28th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518955129 NPPES
Texas MEDICAID 113986705

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