Provider Demographics
NPI:1891230892
Name:RONALD A HOSKIN MD PA
Entity Type:Organization
Organization Name:RONALD A HOSKIN MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOSKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-723-3916
Mailing Address - Street 1:6563 W BELLFORT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77035-2060
Mailing Address - Country:US
Mailing Address - Phone:713-726-3916
Mailing Address - Fax:713-726-0098
Practice Address - Street 1:6563 W BELLFORT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77035-2060
Practice Address - Country:US
Practice Address - Phone:713-726-3916
Practice Address - Fax:713-726-0098
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RONALD A HOSKIN MD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG6727207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX136604908Medicaid
TX136604908Medicaid
TX00QM76Medicare PIN