Provider Demographics
NPI:1376652214
Name:OSTERMEYER, BRITTA (MD)
Entity Type:Individual
Prefix:
First Name:BRITTA
Middle Name:
Last Name:OSTERMEYER
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 4780
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77210-4780
Mailing Address - Country:US
Mailing Address - Phone:713-798-1855
Mailing Address - Fax:713-798-1188
Practice Address - Street 1:1504 TAUB LOOP
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1608
Practice Address - Country:US
Practice Address - Phone:713-873-4901
Practice Address - Fax:713-873-5148
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL75102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160249202Medicaid
TX160249203Medicaid
TX160249203Medicaid
TXH56181Medicare UPIN
TX8B8644Medicare ID - Type Unspecified