Provider Demographics
NPI:1881668986
Name:HOSCH, AMY J (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:J
Last Name:HOSCH
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:PO BOX 846098
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-6098
Mailing Address - Country:US
Mailing Address - Phone:903-324-6450
Mailing Address - Fax:
Practice Address - Street 1:520 EAST DOUGLAS BLVD
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702
Practice Address - Country:US
Practice Address - Phone:903-593-1721
Practice Address - Fax:903-525-1240
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5560207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX75-2616977-028OtherTRICARE
TX75-0818167-015OtherTRICARE
TX75-0818167-044OtherTRICARE
TX75-1976930-005OtherTRICARE
TX75-2616977-066OtherTRICARE
TX042296603Medicaid
TX75-2616977-129OtherTRICARE
TX8EZ063OtherBCBS
TX75-0818167-022OtherTRICARE
TX75-0818167-048OtherTRICARE
TX8DW075OtherBCBS
TX8EZ019OtherBCBS
TXP01279303OtherRAIL ROAD
TX042296602Medicaid
TX75-2616977-002OtherTRICARE
TX75-2616977-01OtherTRICARE
TX75-2616977-016OtherTRICARE
TX75-2616977-023OtherTRICARE
TX75-2616977-118OtherTRICARE
TX75-2616977-066OtherTRICARE
TX75-2616977-002OtherTRICARE
TX75-2616977-01OtherTRICARE
H31661Medicare UPIN