| Charles J. Lostak, D.o., P.a. | |
|
221 W Colorado Blvd Pavilion Ii, Suite 940 Dallas TX 75208-2363 | |
| (214) 948-8856 | |
| (214) 948-5516 |
| Full Name | Charles J. Lostak, D.o., P.a. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 221 W Colorado Blvd, Dallas, Texas |
| Authorized Official Name and Position | Charles John Lostak (PRESIDENT) |
| Authorized Official Contact | 2149488856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles J. Lostak, D.o., P.a. 221 W Colorado Blvd Pavilion Ii, Suite 940 Dallas TX 75208-2363 Ph: (214) 948-8856 | Charles J. Lostak, D.o., P.a. 221 W Colorado Blvd Pavilion Ii, Suite 940 Dallas TX 75208-2363 Ph: (214) 948-8856 |
| NPI Number | 1538186556 |
|---|---|
| Provider Enumeration Date | 07/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538186556 | NPI | - | NPPES |
| 1477549913 | Other | TX | NPI INDIV. PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | H0576 (Texas) | Primary |
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