Provider Demographics
NPI:1497347942
Name:OSHOTSE, BERTHA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BERTHA
Middle Name:
Last Name:OSHOTSE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16316 FM 529 RD STE D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-1465
Mailing Address - Country:US
Mailing Address - Phone:281-859-3103
Mailing Address - Fax:
Practice Address - Street 1:16316 FM 529 RD STE D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-1465
Practice Address - Country:US
Practice Address - Phone:281-859-3103
Practice Address - Fax:281-859-3102
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX46712183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist