Provider Demographics
NPI:1447405535
Name:CLEBURNE DIGESTIVE HEALTH PLLC
Entity Type:Organization
Organization Name:CLEBURNE DIGESTIVE HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YEVGENIY
Authorized Official - Middle Name:
Authorized Official - Last Name:OSTRINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-760-0938
Mailing Address - Street 1:1701 WALTER HOLIDAY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-1189
Mailing Address - Country:US
Mailing Address - Phone:817-760-0234
Mailing Address - Fax:817-641-3355
Practice Address - Street 1:1701 WALTER HOLIDAY DR STE 200
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-1189
Practice Address - Country:US
Practice Address - Phone:817-760-0234
Practice Address - Fax:817-641-3355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2018-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty