Provider Demographics
NPI:1710982277
Name:HOSFORD, SARAH L (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:L
Last Name:HOSFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 INDIANA AVENUE
Mailing Address - Street 2:SOUTHWEST CANCER CENTER
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79408-5305
Mailing Address - Country:US
Mailing Address - Phone:806-775-9375
Mailing Address - Fax:806-775-8278
Practice Address - Street 1:602 INDIANA AVENUE
Practice Address - Street 2:SOUTHWEST CANCER CENTER
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79408-5305
Practice Address - Country:US
Practice Address - Phone:806-775-9375
Practice Address - Fax:806-775-8278
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH0465207V00000X
TXHO465207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000401684JMedicaid
GAE90576Medicare UPIN
GA000401684JMedicaid