Dustin Hostas, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT1483 Issued in TX

Practice address

1 W Medical CT
Wichita Falls, TX 76310-1767

Phone

(940) 689-9664

Fax

(940) 689-9662

NPI assigned

Mar 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215068994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W MEDICAL CT",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101767",
            "telephone_number": "940-689-9664",
            "fax_number": "940-689-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W MEDICAL CT",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101767",
            "telephone_number": "940-689-9664",
            "fax_number": "940-689-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTAS",
        "first_name": "DUSTIN",
        "credential": "LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT1483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospice at Home Holdings LLC (At Home Medical Supply)
• Hospice of Wichita Falls Pharmacy (Hospice of Wichita Falls)
• Hospice of Wichita Falls, Inc.
• Hospice of Wichita Falls, Inc.
• Hospice of Wichita Falls, Inc. (Palliative Care of North Texas)
• Keely Howard, PTA
• Regina M. Howard, NURSE PRACTITIONER
• San Myat Htun
• David S Huang, M. D.
• Yao J Huang, MD

• Athletic Trainer in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.