Provider Demographics
NPI:1518930668
Name:DOSKI, JOHN J (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:DOSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3001 E PRESIDENT GEORGE BUSH HWY
Mailing Address - Street 2:SUITE 250
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-3542
Mailing Address - Country:US
Mailing Address - Phone:972-437-5099
Mailing Address - Fax:972-671-8428
Practice Address - Street 1:4499 MEDICAL DR
Practice Address - Street 2:SUITE 347
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3735
Practice Address - Country:US
Practice Address - Phone:210-615-8757
Practice Address - Fax:210-615-8789
Is Sole Proprietor?:No
Enumeration Date:2006-02-09
Last Update Date:2011-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXJ53112086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089967603Medicaid
TX089967603Medicaid
TX84350NMedicare ID - Type Unspecified