Provider Demographics
NPI:1083642714
Name:HOSS, GARY V (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:V
Last Name:HOSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:601 CLARA BARTON BLVD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-5738
Mailing Address - Country:US
Mailing Address - Phone:972-494-6235
Mailing Address - Fax:972-272-2073
Practice Address - Street 1:601 CLARA BARTON BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-5738
Practice Address - Country:US
Practice Address - Phone:972-494-6235
Practice Address - Fax:972-272-2073
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF5572207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX099482402Medicaid
TX990005985OtherRR MEDICARE
TXC17107Medicare UPIN
TX099482402Medicaid